| AECOPD并严重呼吸衰竭序贯机械通气疗效分析 |
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| 引用本文： | 薛明,周文博,朱广军,林涛,刘家骅.AECOPD并严重呼吸衰竭序贯机械通气疗效分析[J].临床肺科杂志,2009,14(2):186-187. |
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| 作者姓名： | 薛明 周文博 朱广军 林涛 刘家骅 |
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| 作者单位： | 徐州市中医院ICU,江苏,221000 |
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| 摘 要： | 目的应用有创一无创序贯携氧呼吸机正压机械通气治疗COPD急性加重（AECOPD）合并严重呼吸衰竭的临床疗效观察。方法2006年7月至2008年7月间我院ICU患者32例，予气管插管机械通气，待患者神志完全清醒，出现肺部感染控制窗后早期拔管，继续无创呼吸机携氧正压通气治疗，并选择本院2004年6月至2006年6月间AECOPD合并严重呼吸衰竭患者30例于ICU予常规有创机械通气治疗作为对照，观察两组患者有创通气时间、总机械通气时间、住ICU时间、治愈好转率、呼吸机相关性肺炎（VAP）患病率、再插管率及死亡率；结果序贯组有创通气时间、总机械通气时间、任ICU时间、治愈好转率、呼吸机相关性肺炎（VAP）患病率、再插管率及死亡率与对照组比较，显著优于对照组，相比差异有统计学意义（P〈0．05）。结论有创一无创序贯性机械通气治疗AECOPD合并严重呼吸衰竭安全有效，提高治愈好转率，优于传统有创机械通气方法。
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| 关 键 词： | 慢性阻塞性肺疾病 呼吸衰竭 序贯机械通气 |
An analysis of the treatment effect xof sequential mechanical ventilation in AECOPD with severe respiratory failure in ICU |
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| XUE Ming,ZHOU Wen-bo,ZHU Cuang-jun,LIN Tao,LIU Jia-hua.An analysis of the treatment effect xof sequential mechanical ventilation in AECOPD with severe respiratory failure in ICU[J].Journal of Clinical Pulmonary Medicine,2009,14(2):186-187. |
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| Authors: | XUE Ming ZHOU Wen-bo ZHU Cuang-jun LIN Tao LIU Jia-hua |
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| Institution: | XUE Ming,ZHOU Wen-bo,ZHU Guang-jun,LIN Tao,LIU Jia-hua. Traditional Chinese Medical Hospital of Xuzhou City,Jiangsu Province,Xuzhou 221000,China |
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| Abstract: | Objective To investigate the role of sequential in-noninvasive mechanical ventilation in AECOPD with severe respiratory failure.Methods From July 2006 to July 2008,32 patients with AECOPD with severe respiratory failure(the therapy group)were treated with sequential in-noninvasive mechanical ventilation.The other 30 patients From June 2004 to June 2006(the contrast group)were treated with invasive mechanical ventilation.The two groups were compared on the measures of progress of the disease,the rate of VAP ... |
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| Keywords: | COPD respiratory failure sequential in-noninvasive mechanical ventilation |
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