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分析 ７６例呼吸衰竭患者经鼻气管插管与气管切开疗效的优缺点。其中Ⅰ型呼衰 ３６例， Ⅱ型呼衰 ４０例。结果：Ⅰ型呼衰经气管切开组，氧分压改善明显优于经鼻气管插管组。而由ＣＯＰＤ引起的Ⅱ型呼衰，气管插管和气管切开二者对ＰａＯ_２和ＰａＣＯ_２改善无明显差异。结论：Ⅱ型呼衰应以经鼻气管插管为首选治疗方法；对于分泌物多、严重二氧化碳潴留合并多器官功能衰竭的Ⅱ型呼衰患者，应及时气管切开。还介绍了预防气管感染及气管插管内结痂的方法。
Analysis of 76 cases of respiratory failure by nasotracheal intubation and tracheotomy advantages and disadvantages. Among them, 36 cases were type Ⅰ respiratory failure and 40 cases were type Ⅱ respiratory failure. Results: Type Ⅰ respiratory failure by tracheostomy group, oxygen partial pressure was significantly better than the nasal endotracheal intubation group. However, the COPD-induced respiratory failure of Type II, tracheal intubation and tracheostomy for both PaO_2 and PaCO_2 improved no significant difference. Conclusions: Type Ⅱ respiratory failure should be treated by nasotracheal intubation. For patients with type Ⅱ respiratory failure who have many secretions and severe carbon dioxide retention and multiple organ failure, they should be timely tracheotomized. Also introduced to prevent tracheal infection and endotracheal intubation scab method.