| 有创与无创序贯性机械通气治疗重度有机磷农药中毒伴呼吸衰竭 |
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| 引用本文： | 周发春,徐昉.有创与无创序贯性机械通气治疗重度有机磷农药中毒伴呼吸衰竭[J].重庆医科大学学报,2005,30(1):114-115. |
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| 作者姓名： | 周发春 徐昉 |
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| 作者单位： | 重庆医科大学临床学院急诊科,重庆,400016;重庆医科大学临床学院急诊科,重庆,400016 |
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| 摘 要： | 目的:探讨序惯性机械通气在治疗重度有机磷农药中毒所致呼吸衰竭中的作用.方法:回顾性分析急诊ICU序贯性机械通气治疗重度有机磷农药中毒所致呼吸衰竭病例,共32例.结果:32例例序贯性脱机成功28例,占87.5%(28/32)4例发生IMS改行ETMV,死亡2例,占6.3%(2/32.结论:重度有机磷农药中毒所致呼吸衰竭实行序贯性机械通气有助于实现尽快撤机,提高抢救成功率.警惕IMS所致突发性急性呼吸衰竭.
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| 关 键 词： | 有机磷中毒 机械通气 NIPPV 呼吸衰竭 |
| 文章编号： | 0253-3626(2005)01-0114-02 |
| 修稿时间： | 2004年8月27日 |
Sequential invasive and non-invasive mechanical ventilation in respiratory failure due to acute organophosphate poisoning |
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| ZHOU Fachun,et al.Sequential invasive and non-invasive mechanical ventilation in respiratory failure due to acute organophosphate poisoning[J].Journal of Chongqing Medical University,2005,30(1):114-115. |
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| Authors: | ZHOU Fachun |
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| Abstract: | Objective:To discuss the effect of sequential invasive and non-invasive mechanical ventilation on severe organophosphate poisoning with respiratory failure(RF).Methods:A clinical retrospective analysis was carried out to investigate 32 cases of severe organophosphate poisoning with RF treated by sequential invasive and non-invasive mechanical ventilation in EICU.Results:Twenty-eight patients of thirty-two were cured(87.5%).Four patients developed intermediate syndrome(IMS),2 patients died(6.3%).Conclusion:Sequential invasive and non-invasive mechanical ventilation is an effective therapy on severe organophosphate poisoning with RF.Attention must be paid to acute respiratory failure(ARF) caused by IMS. |
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| Keywords: | Organophosphate poisoning mechanical ventilation NIPPV Respiratory failure |
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