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目的探讨有创通气抢救慢性阻塞性肺疾病合并呼吸衰竭的体会。方法对34例慢性阻塞性肺疾病合并呼吸衰竭的有创通气方法进行总结。结果 34例均成功撤机在48 h以上,有22例改为无创通气,其余12例直接应用鼻导管吸氧。结论慢性阻塞性肺疾病合并严重呼吸衰竭,一旦出现意识、血流动力学等改变,应及时行有创通气,并尽力做好通气的各个环节。
Objective To explore the experience of invasive ventilation in the treatment of chronic obstructive pulmonary disease with respiratory failure. Methods The methods of invasive ventilation in 34 patients with chronic obstructive pulmonary disease and respiratory failure were summarized. Results All of the 34 cases wearable in more than 48 h, 22 cases changed to non-invasive ventilation, and the remaining 12 cases of nasal catheter oxygen directly. Conclusion Chronic obstructive pulmonary disease with severe respiratory failure, once there is awareness, hemodynamic changes, timely and invasive ventilation, and try to do all aspects of ventilation.