有创无创呼吸机在呼吸衰竭气管切开患者的临床观察

目的探讨双水平正压通气在呼吸衰竭气管切开患者序贯治疗中应用的价值。方法选择10例呼吸衰竭气管切开机械通气患者,肺部感染基本控制,均有自主呼吸,病情稳定,呼吸机通气模式为压力支持、但撤机困难。应用双水平正压通气无创呼吸机,连接气管切开导管,呼吸支持治疗,观察患者呼吸次数、心率、血压、血气分析指标的变化及预后。结果双水平正压通气无创呼吸机可应用于呼吸衰竭气管切开患者的呼吸支持治疗,患者呼吸次数、心率、血压稳定,PH、PaO2、PaCO2基本维持正常。观察、随访24周,10例患者中7例停用BiPAP,拔除气管导管,封闭气管切开开口。1例BiPAP通气24周,病情稳定。2例因再次感染死亡。结论双水平正压通气可应用于病情稳定,但撤机困难的气管切开呼吸衰竭患者序贯治疗。

Clinical observation of invasive mechanical ventilation with Bilevel positive airway pressure noninvasive ventilator in respiratory failure cases with tracheotomy

Objective To investigate the value of invasive mechanical ventilation with bilevel positive airway pressure(BiPAP) noninvasive ventilator in the stable respiratory failure cases receiving tracheotomy.Methods Ten respiratory failure patients receiving tracheotomy with invasive mechanic ventilation received BiPAP noninvasive ventilator via tracheotomy tube,when pulmonary infection of the patients were controlled,autonomous respiration of them existed and ventilation mode of their mechanical ventilation was pr...