60例重症肺结核合并呼吸衰竭临床分析

目的]探讨并分析重症肺结核合并呼吸衰竭的临床特征,以较早预防该病的发生,并采取相应的治疗措施。方法]选取某院60例重症肺结核合并呼吸衰竭的患者,对其临床资料进行分析。结果]60例患者经治疗后有3例患者死亡,同时对所有患者的临床资料进行分析,发现有肺部感染42例,占70%;Ⅰ型呼吸衰竭有17例,占28.33%,Ⅱ型呼吸衰竭有43例,占71.67%;酸碱紊乱以呼吸性酸中毒合并代谢性碱中毒为主,有48例,占80%。经治疗后患者的血气分析变化较治疗前差异均有统计学意义(P﹤0.05)。结论重症肺结核并发呼吸衰竭的可能诱因为呼吸道感染及接触过敏原等,积极控制感染,避免接触过敏原,积极采取有效的治疗措施,可以有效控制病情的继续进展。

THE CLINICAL ANALYSIS ON 60 CASES OF INTENSIVE TUBERCULOSIS COMBINED WITH RESPIRATORY FAILURE

Objective]To study and analyze the clinical characteristics of intensive tuberculosis combined with respiratory failure,in order to prevent the incidence of the disease early,and take the corresponding treatment measures.Methods]Chose 60 patients of intensive tuberculosis combined with respiratory failure and analyzed their clinical data.Results]3 patients were died in 60 patients after the treatment.Through analyzing the clinical data,it found there were 42 patients with pulmonary infection,accounting for 70%;typeⅠ respiratory failure in 17 cases,accounting for 28.33%,typeⅡ respiratory failure in 43 patients,accounting for 71.67%;respiratory acidosis combined with metabolic alkalosis primarily happened in acid-base disturbances,there were 48 cases,accounting for 80%.After the therapy,the changes of patients’ blood gas analysis were statistically significant compared with that before treatment(P﹤0.05).Conclusion]Severe tuberculosis and respiratory failure may cause respiratory infections and contact allergens,such as positive controlling infection and avoiding to contact with allergens,actively adopting effective treatment,can effectively control the condition of progress.