| 无创正压通气治疗全麻拔管后呼吸衰竭 |
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| 引用本文： | 尤勇,顾勤,朱章华,董丹江. 无创正压通气治疗全麻拔管后呼吸衰竭[J]. 临床麻醉学杂志, 2009, 25(5) |
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| 作者姓名： | 尤勇 顾勤 朱章华 董丹江 |
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| 作者单位： | 南京大学医学院附属鼓楼医院急诊中心ICU,210008;南京大学医学院附属鼓楼医院急诊中心ICU,210008;南京大学医学院附属鼓楼医院急诊中心ICU,210008;南京大学医学院附属鼓楼医院急诊中心ICU,210008 |
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| 摘 要： | 目的 评价无创正压通气(NIPPV)治疗全身麻醉手术拔管后呼吸衰竭的疗效及影响因素.方法 全麻手术拔管后48 h内发生呼吸衰竭的患者34例,应用BiPAP Vision呼吸机实施无创正压通气治疗,比较治疗后避免再插管(成功组)和需要再插管(失败组)患者的基础状态、通气疗效及临床结果,并分析可能的影响因素.结果 无创正压通气使70.6%的术后呼吸衰竭患者避免插管.与失败组相比,成功组心肺并发症所致呼吸衰竭的比例和需要人工辅助吸痰的比例明显低(P<0.05),麻醉药残留呼吸抑制的比例高(P<0.01).结论 无创正压通气治疗全身麻醉手术后呼吸衰竭能够减少再插管率,但可能不适用于存在心肺并发症和排痰障碍的患者.
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| 关 键 词： | 无创正压通气 呼吸衰竭 |
Treatment of acute respiratory failure after extubation with noninvasive positive pressure ventilation |
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| YOU Yong,GU Qin,ZHU Zhang-hua,et al.. Treatment of acute respiratory failure after extubation with noninvasive positive pressure ventilation[J]. The Journal of Clinical Anesthesiology, 2009, 25(5) |
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| Authors: | YOU Yong GU Qin ZHU Zhang-hua et al. |
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| Affiliation: | YOU Yong,GU Qin,ZHU Zhang-hua,et al.Intensive Care Unit,Affiliated Nanjing Drum Tower Hospital,Medical School of Nanjing University,Nanjing 210008,China |
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| Abstract: | Objective To assess the efficacy of noninvasive positive pressure ventilation(NIPPV)in treating acute respiratory failure(ARF)after extubation.Methods Thirty-four patients with ARF required ventilatory support after extubation were treated with NIPPV and divided into group A(not reintubated,24 cases)and group B(reintubated,10 cases).The data of ASA physical status,APACHE II score,and Glasgow dyspepsia severity score were collected at admission to ICU.Arterial blood gases and respiratory rate before,at 30 mi... |
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| Keywords: | Noninvasive positive pressure ventilation Respiratory failure |
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