| 呼吸兴奋剂治疗老年人慢性阻塞性肺病呼吸衰竭的临床观察 |
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| 引用本文： | 黄小健.呼吸兴奋剂治疗老年人慢性阻塞性肺病呼吸衰竭的临床观察[J].中南大学学报(医学版),1994(6). |
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| 作者姓名： | 黄小健 |
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| 作者单位： | Department of Geriatrics，The Second Affiliated Hospital，Hunan Medical
University |
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| 摘 要： | 通过对３０例慢性阻塞性肺病慢性吸呼衰竭急性加重期（Ⅱ型）老年病人的血气分析及呼吸兴奋剂疗效的临床观察，探讨呼吸兴奋剂的临床使用价值。结果显示：呼吸兴奋剂治疗呼吸衰竭口型的效果，并不决定于ＰａＣＯ２增高的程度，而在于ＰａＯ２下降的程度。当此类药物治疗无效时，进行气管插管或气管切开予以机械通气，同样是该症老年病人抢救成功的有效措施。
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| 关 键 词： | 肺疾病，阻塞性，呼吸功能不全，尼可刹米，山梗菜碱，血气分析，药物疗法，治疗应用，老年人 |
THEEFFICACY OF RESPIRATORY STIMULANT IN THE AGED WITH CHRONIC OBSTRUCTIVE
PULMONARY DISEASES DURING ACUTERESPIRATORY FAILURE |
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| Huang,Xiaojian.THEEFFICACY OF RESPIRATORY STIMULANT IN THE AGED WITH CHRONIC OBSTRUCTIVE
PULMONARY DISEASES DURING ACUTERESPIRATORY FAILURE[J].Journal of Central South University (Medical Sciences)Journal of Central South University (Medical Sciences),1994(6). |
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| Authors: | Huang Xiaojian |
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| Abstract: | his paper reports the clinical observation on the efficacy of the respiratory
stimulantsin the 30 aged with chronic obstructive pulmonary diseases during acute respiratory
failure.The results indicate that the efficacy of the respiratory stimulant(nikethamide
combinedwith lobeline)depends on a decrease of PaO2;but not oh an increase of PaCO2 during
respira-tory failure II.It is necessary to operate an endotracheal insert or perform tracheotomy
imme-diately when the treatment of respiratory stimulants has no effect. |
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| Keywords: | lung diseases obstructive respiratory insufficiency blood gas analysis nikethamide lobeline drug therapy therapeutic use aged |
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