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对19例肺性脑病患者,经常规并机械通气治疗,与18例常规并气管切开给氧治疗对比,提示治疗组在低氧血症的纠正,二氧化碳潴留解除,患者意识恢复,抢救成功率等方面明显优于对照组。如血BE值较高或并有代谢性碱中毒,通气量应减少,吸氧浓度提高,防止碱质排泄与二氧化碳排出速度不相适应诱发失代偿性碱中毒。不同个体或同一个体不同时期根据血气分析监测结果及时调整呼吸机参数,防止并发症发生。机械通气时应及时去除诱发因素,治疗基础疾病。
Of 19 patients with pulmonary encephalopathy, conventional and mechanical ventilation, compared with 18 conventional and tracheotomy oxygen therapy, suggesting that the treatment group in the correction of hypoxemia, carbon dioxide retention, recovery of patient awareness, rescue success rate Obviously superior to the control group. Such as blood BE higher or metabolic alkalosis, ventilation should be reduced, oxygen concentration increased to prevent the excretion of alkali and carbon dioxide out of speed does not adapt to induce decompensated alkalosis. Different individuals or the same individual at different times based on blood gas analysis and monitoring results timely adjustment of ventilator parameters to prevent complications. Mechanical ventilation should be promptly removed predisposing factors, the treatment of underlying diseases.