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机械通气早期干预对老年患者术后呼吸衰竭的预防作用
引用本文:刘少峰,高成杰,张建欣,李志英,赵亮. 机械通气早期干预对老年患者术后呼吸衰竭的预防作用[J]. 临床军医杂志, 2006, 34(5): 563-564
作者姓名:刘少峰  高成杰  张建欣  李志英  赵亮
作者单位:解放军第148医院,麻醉科,山东,淄博,255300;解放军济南军区总医院,麻醉科,山东,济南,250031
摘    要:目的探讨早期机械通气对老年患者术后呼吸衰竭的预防作用。方法将64例老年患者随机分成两组,Ⅰ组32例术后机械通气12~24 h。Ⅱ组32例术后未用机械通气。对两组患者术后血气分析,呼吸衰竭发生率、再插管率及死亡率进行比较。结果Ⅰ组术后呼吸衰竭发生率,再插管率及死亡率明显低于Ⅱ组。结论老年患者术后早期机械通气可显著降低呼吸衰竭的发生率,提高生存率。

关 键 词:机械通气  老年人  外科手术  呼吸衰竭
文章编号:1671-3826(2006)05-0563-02
收稿时间:2006-08-08
修稿时间:2006-08-08

Preventive Effect of Early Mechanical Ventilation on Postoperative Respiratory Failure of Elderly Patients
Liu Shao-feng,Gao Cheng-jie,Zhang Jian-xin,Li Zhi-ying,Zhao Liang. Preventive Effect of Early Mechanical Ventilation on Postoperative Respiratory Failure of Elderly Patients[J]. Clinical Journal of Medical Officer, 2006, 34(5): 563-564
Authors:Liu Shao-feng  Gao Cheng-jie  Zhang Jian-xin  Li Zhi-ying  Zhao Liang
Affiliation:1. Department of Anesthesiology, PLA 14gth Hospital, Zibo 255300, China; 2. Department of Anesthesiology, General Hospital of Jinan Military Region, PLA, Jinan 250031, China
Abstract:Objective To discuss the preventive effect of early mechanical ventilation on postoperative respiratory failure of elderly patients.Methods A total of 64 patients were divided into two groups at random.Group One(n=32) was given postoperative mechanical ventilation for 12~24 hours,and Group Two wasn't given it.Comparison was done between the two groups on the aspects of blood gas analysis,respiratory failure incidence,reintubation rate and death rate.Results The rates of respiratory failure,re-intubation rate and death rate were significantly lower in Group One than in Group Two.Conclusion Early mechanical ventilation onto postoperative elderly patients can decrease the incidence of respiratory failure,and increase the rate of survival.
Keywords:mechanical ventilation    elderly    surgical operation    respiratory failur
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