| 有创机械通气对COPD患者组织通气的影响 |
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| 引用本文： | 马跃荣,王小英,马俊英. 有创机械通气对COPD患者组织通气的影响[J]. 新疆医科大学学报, 2011, 34(6): 595-597 |
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| 作者姓名： | 马跃荣 王小英 马俊英 |
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| 作者单位： | 1. 乌鲁木齐市第一人民医院急诊科,新疆,乌鲁木齐,830000
2. 新疆医科大学第一附属医院急救中心,新疆,乌鲁木齐,830011 |
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| 摘 要： | 目的 探讨有创机械通气对慢性阻塞性肺疾病(COPD)患者组织通气的影响。方法以我院急诊科2009年1~12月应用有创通气的COPD患者42例为研究对象,比较分析患者有创机械通气前后氧合指数(PaO2/FiO2)、动脉血氧饱和度(SaO2)、动脉血二氧化碳分压(PaCO2)、血清酸碱度(pH)等指标的变化情况。结果 42例COPD患者经有创机械通气辅助呼吸治疗后,死亡3例,病死率为7.14%,其中肺部感染死亡2例,呼吸衰竭死亡1例。39例治疗有效,恢复有效通气,成功脱机。治疗时间5~37 d,平均18.36 d;39例治疗后PaO2/FiO2和SaO2指标显著高于治疗前(P<0.01),PaCO2和呼吸频率(RR)水平显著低于治疗前(P<0.01)。结论对COPD患者应用有创机械通气可以通过增强组织通气,提高患者治疗效果,延长患者的生存时间,应在临床尝试推广。
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| 关 键 词： | COPD 有创呼吸机 组织通气 影响 |
The study on effect of organizations ventilation in COPD patients with invasive mechanical ventilation |
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| MA Yao-Rong,WANG Xiao-ying,MA Jun-ying. The study on effect of organizations ventilation in COPD patients with invasive mechanical ventilation[J]. Journal of Xinjiang Medical University, 2011, 34(6): 595-597 |
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| Authors: | MA Yao-Rong WANG Xiao-ying MA Jun-ying |
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| Affiliation: | (Department of Emergency,Urumqi First people′s Hospital,Urumqi 830000,China) |
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| Abstract: | Objective To investigate the effect of organizations ventilation in COPD patients with Invasive mechanical ventilation.Methods 42 cases of COPD in our hospital from January to December 2009 with invasive ventilation were enrolled in this study and analyze the change of the PaO2/FiO2,SaO2,PaCO2,PH and other indicators before and after invasive mechanical ventilation.Results In 42 cases of COPD with invasive mechanical ventilation therapy,3 died,the mortality rate was 7.14%,of which 2 cases died of pulmonary ... |
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| Keywords: | COPD |
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