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机械通气配伍山莨菪碱对高海拔地区ARDS病人的治疗
引用本文:牛荣,杨永珠,赵静,苟云久,高颜蜂.机械通气配伍山莨菪碱对高海拔地区ARDS病人的治疗[J].创伤外科杂志,2008,10(5).
作者姓名:牛荣  杨永珠  赵静  苟云久  高颜蜂
作者单位:1. 甘肃省肿瘤医院胸外科,甘肃,兰州,730050;兰州大学第二医院心胸外科,甘肃,兰州,730050
2. 兰州大学第二医院心胸外科,甘肃,兰州,730050
3. 兰州市第一人民医院神经内科,甘肃,兰州,730030
4. 兰州市城关区妇幼保健所,甘肃,兰州,730030
摘    要:目的 研究小潮气量 PEEP机械通气配伍山莨菪碱治疗高海拔地区急性呼吸窘迫综合征(ARDS)的临床疗效.方法 收集我院确诊的ARDS患者54例,随机分治疗组30例和对照组24例,治疗组采用小潮气量 PEEP机械通气配伍山莨菪碱治疗.对照组用传统小潮气量 PEEP机械通气治疗.结果 治疗组PaO2(91.80±2.31)mmHg,较对照组(83.93±1.40)mmHg在通气24小时时明显升高(P<0.001);病死率明显下降(P<0.05);通气时间明显缩短(P<0.05).结论 小潮气量 PEEP机械通气配伍山莨菪碱治疗高海拔地区ARDS较传统方法明显降低病死率.

关 键 词:机械通气  山莨菪碱  急性呼吸窘迫综合征  高原

Clinical therapeutic effect of the low tidal volume mechanical ventilation with PEEP matching anisodamine on ARDS patients at high altitude
NIU Rong,YANG Yong-zhu,ZHAO Jing,et al..Clinical therapeutic effect of the low tidal volume mechanical ventilation with PEEP matching anisodamine on ARDS patients at high altitude[J].Journal of Traumatic Surgery,2008,10(5).
Authors:NIU Rong  YANG Yong-zhu  ZHAO Jing  
Institution:NIU Rong,YANG Yong-zhu,ZHAO Jing,et al.(Department of Cardiothoracic Surgery,Tumor Hospital of Gansu Province,Lanzhou 730050,China)
Abstract:Objective To study the clinical therapeutic effect of the low tidal volume mechanical ventilation with PEEP matching anisodamine on ARDS patients at high altitude.Methods Fifty-four ARDS patients received mechanical ventilation with PEEP chosen by two means.The treatment group(n=30) were chosen by low tidal volume mechanical ventilation with PEEP matching anisodamine on ARDS patients.The control group(n=24) were chosen by traditional means with PEEP.The arterial blood gases indexes were detected at the 24 h...
Keywords:mechanical ventilation  anisodamine  acute respiratory distress syndrome  high altitude  
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