| 有创-无创序贯机械通气治疗有机磷杀虫药中毒并发呼吸衰竭28例 |
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| 引用本文： | 梅洪宝.有创-无创序贯机械通气治疗有机磷杀虫药中毒并发呼吸衰竭28例[J].医学理论与实践,2011,24(8):871-872,890. |
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| 作者姓名： | 梅洪宝 |
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| 作者单位： | 江苏省赣榆县人民医院呼吸科,222100 |
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| 摘 要： | 目的:通过对比研究评价有创-无创序贯机械通气治疗有机磷杀虫药中毒并发呼吸衰竭的优越性。方法:将64例患者分为两组:有创机械通气治疗组(n=36)和有创-无创序贯机械通气治疗组(n=28)。主要观察指标为:呼吸机相关性肺炎发生率、有创机械通气时间、总机械通气时间、总住院时间、再插管率及住院病死率。结果:两组间比较呼吸机相关性肺炎发生率、有创机械通气时间、总机械通气时间、总住院时间及再插管率,有创-无创序贯机械通气治疗组明显低于对照组,组间比较差异显著,有统计学意义(P<0.05)。住院病死率两组间差异无统计学意义(P>0.05)。结论:有创-无创序贯机械通气治疗有机磷杀虫药中毒并发呼吸衰竭疗效肯定且安全可靠,值得在临床推广应用。
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| 关 键 词： | 有机磷杀虫药 中毒 呼吸衰竭 有创-无创序贯机械通气 |
Sequential Invasive to Noninvasive Mechanical Ventilation in Treatment of Organophosphorus Insecticides Poisoning with Respiratory Failure: Report of 28 Cases |
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| MEI Hongbao.Sequential Invasive to Noninvasive Mechanical Ventilation in Treatment of Organophosphorus Insecticides Poisoning with Respiratory Failure: Report of 28 Cases[J].The Journal of Medical Theory and Practice,2011,24(8):871-872,890. |
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| Authors: | MEI Hongbao |
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| Institution: | MEI Hongbao.Department of Respiratory Medicine,The People's Hospital of Ganyu County,Jiangsu Province 222100 |
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| Abstract: | Objective:To evaluate the therapeutic effects of sequential invasive to noninvasive ventilation for organophosphorus insecticides poisoning complicated with respiratory failure.Methods:The studied cases were assigned to two groups:invasive ventilation group(n=36)and sequential invasive to noninvasive ventilation group(n=28).The main clinical parameters observed were: incidence of ventilator-associated pneumonia(VAP),the invasive ventilation period,total ventilation period,total hospital stay,reintubation ra... |
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| Keywords: | Organophosphorus insecticides Poisoning Respiratory Failure Sequential Invasive to Noninvasive Mechanical Ventilation |
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