慢性阻塞性肺疾病反复机械通气的临床分析

目的:探讨反复机械通气在慢性阻塞性肺疾病(COPD)治疗中的作用和临床效果。方法:回顾性分析2002～2006年我科收治的30例COPD患者反复机械通气治疗的临床资料。结果:本组30例患者中,脱机拔管成功率达80.16%,1年生存率为70%,2年生存率为60%,3年生存率为23.3%。结论:对COPD患者,正确掌握机械通气的指征,及时建立人工气道,是抢救COPD急性加重期的有效措施。

Clinical analysis of repeated mechanical ventilation for COPD

Objective:To investigate the role and clinical effect of repeated mechanical ventilation in the treatment of chronic obstructive pulmonary disease(COPD).Methods:The clinical data in 30 patients with COPD from 2002 to 2006 treated with repeated mechanical ventilation in our department were analysed retrospectively.Results:Among 30 cases of COPD,the success rate of decannulation was 80.16%,the survival rate in 1,2 and 3 years was 70%,60% and 23.3% respecitvely.Conclusion:Grasping the indication of mechanical ventilation accurately and establishing an artificial airway in time are the effective measures for rescuing the COPD patients in acute-aggravated period.