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1977年12月~1990年5月在本科呼吸监护病室收治机械呼吸治疗的慢阻肺肺心病并发呼吸衰竭107例。鉴于其死亡的主要原因为全身衰竭、人工气道并发症和呼吸衰竭并发症,所以近年来加强积极综合性处理包括营养治疗、液体和电解质平衡、合理注意人工呼吸道、预防和治疗感染,以及康复锻炼等。肺心病患者经机械呼吸治疗呼吸衰竭的死亡率已由63.9%下降至25.0%。
From December 1977 to May 1990, 107 patients with chronic obstructive pulmonary disease (COPD) and respiratory failure were treated with mechanical respiration in an inpatient respiratory care unit. In view of the fact that the main causes of death are systemic failure, artificial airway complications and respiratory failure complications, in recent years there has been an intensification of active and comprehensive treatment including nutrition therapy, liquid and electrolyte balance, proper attention to the artificial respiratory tract, prevention and treatment of infections, and rehabilitation Exercise and so on. Mortalities of respiratory failure due to mechanical respiration in patients with cor pulmonale have decreased from 63.9% to 25.0%.