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目的:探讨早期机械通气救治急性中毒致呼吸衰竭的临床疗效以及治疗体会。方法:回顾性分析2013年4月~2013年12月期间,在我院接受治疗的急性中毒致呼吸衰竭患者40例,将其分为观察组和对照组,选择早期进行机械通气治疗的20例急性中毒致呼吸衰竭患者为观察组,同期没有进行早期机械通气的20例患者急性中毒致呼吸衰竭为对照组。比较两组患者的呼吸机使用时间、好转率以及并发症发生率;检测、比较两组患者在治疗前以及治疗后的24h血流动力学指标、血气分析指标。结果:通过比较两组患者的临床治疗效果,其中观察组患者的好转率、呼吸机的使用时间、并发症发生率等明显低于对照组,患者在治疗后24h的血流动力学指标以及血气分析指标改善幅度明显高于对照组。两组间的比较有显著性差异(P<0.05),有统计学意义。结论:通过本文的研究,证实对急性中毒导致呼吸衰竭患者进行早期机械通气救治,可以取得更加明显的临床效果,可以显著改善患者的预后情况,因此在临床上值得推广应用。
Objective: To investigate the clinical efficacy and treatment of early mechanical ventilation in the treatment of acute respiratory failure caused by respiratory failure. Methods: From April 2013 to December 2013, 40 patients with respiratory failure caused by acute poisoning in our hospital were retrospectively analyzed. They were divided into observation group and control group, and 20 patients with early mechanical ventilation were selected Acute poisoning caused respiratory failure patients as observation group, the same period did not carry out early mechanical ventilation in 20 patients with acute respiratory failure caused by respiratory failure as a control group. Ventilator use time, improvement rate and complication rate were compared between the two groups. The hemodynamics and blood gas analysis indexes before and 24 hours after treatment were detected and compared between two groups. Results: By comparing the clinical efficacy of two groups of patients, the improvement rate of the observation group patients, the use of ventilator time, the incidence of complications was significantly lower than the control group, the patients at 24h after treatment hemodynamics and blood gas The improvement rate of the analysis index was obviously higher than that of the control group. There was significant difference between the two groups (P <0.05), with statistical significance. Conclusions: Through this study, it is confirmed that early mechanical ventilation for patients with respiratory failure caused by acute poisoning can achieve more obvious clinical effects and can significantly improve the prognosis of patients. Therefore, it is worthy of clinical application.