论文部分内容阅读
自1988年1月至1990年6月期间用人工呼吸器抢救呼吸衰竭21例,由于加强呼吸管理、严密监护、充分湿化及气管冲洗,病死率下降为19.1％。21例结合血气诊断呼衰Ⅰ型9例,Ⅱ型12例。根据不同病情采用合适的氧疗。11例用人工呼吸器湿化并供浓度氧鼻塞CPAP,平均54.3小时(18～122小时),全部存活;9例IPPV+PEEP及1例CPAP共10例,平均69.6小时,最长1例为138小时,6例存活。本文提示平均气道压(MAP)作为氧合的指标,在机械通气时以维持在10～14cmH_2O为妥。
From January 1988 to June 1990 rescued respiratory failure with artificial respirator 21 cases, due to enhanced respiratory management, intensive care, full humidification and tracheal flushing, the case fatality rate dropped to 19.1%. In 21 cases, 9 cases were diagnosed as type Ⅰ respiratory failure and 12 cases were type Ⅱ. According to different conditions using appropriate oxygen therapy. Eleven patients were treated with artificial respirator and were given oxygen nasal CPAP for an average of 54.3 hours (18 to 122 hours). All of them survived. Nine IPPV + PEEP and one CPAP were found in 10 patients (average 69.6 hours) 138 hours, 6 cases survived. This article suggests that mean airway pressure (MAP) as an indicator of oxygenation, maintained at 10 ~ 14cmH2O during mechanical ventilation is appropriate.