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目的:分析无创通气治疗aecopd(慢性阻塞性肺疾病急性加重)的失败原因。方法:选取2010年4月-2012年4月我院收治的应用无创通气术治疗aecopd失败的患者45例作为研究对象,将其临床资料进行回顾性的分析。结果:在应用无创通气治疗的45例患者中,高碳酸血症恶化或不能纠正的患者有8(17.8%)例,低氧血症恶化或不能纠正的患者有11(24.4%)例,因为不耐受拒绝继续治疗的患者有12(26.7%)例,胃肠胀气的患者有6(13.3%)例,面罩漏气的患者有5(11.1%)例,面部皮肤破损导致无法使用面罩患者有3(6.7%)例。结论:有效掌握无创通气的禁忌症和适应症,在通气过程中加强监测和观察,是有效提高无创通气技术,成功治疗aecopd的关键所在。
Objective: To analyze the causes of non-invasive ventilation in the treatment of aecopd (acute exacerbation of chronic obstructive pulmonary disease). Methods: From April 2010 to April 2012 in our hospital, 45 cases of patients with failed aecopd treated with noninvasive ventilation were selected as the study subjects, and their clinical data were retrospectively analyzed. Results: Of the 45 patients treated with noninvasive ventilation, 8 (17.8%) had hypercapnia and 11 (24.4%) had worsening or uncorrected hypoxemia 12 (26.7%) patients were intolerant, 6 (13.3%) patients had flatulence, and 5 (11.1%) patients had face-mask leaks, and facial skin lesions caused the use of maskless patients There are 3 (6.7%) cases. Conclusion: To effectively grasp the contraindications and indications of noninvasive ventilation and to strengthen the monitoring and observation in the course of ventilation is the key point to successfully improve non-invasive ventilation and successfully treat aecopd.