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目的采用回顾性方法总结气管插管机械通气对慢性阻塞性肺疾病急性加重期(AE-COPD)并Ⅱ型呼吸衰竭的治疗效果,分析治疗的相关因素。方法对2000年10月至2006年12月我院呼吸内科26例AECOPD并Ⅱ型呼吸衰竭患者行气管插管机械通气的后2、24h及治疗结束后神志、呼吸频率(RR)、心率(HR)、血气分析的变化。结果治疗后2、24h、结束后RR、HR、神志、血气分析指标明显改善。结论气管插管机械通气是治疗AECOPD并Ⅱ型呼吸衰竭行之有效的方法。
Objective To retrospectively summarize the therapeutic effects of mechanical ventilation with endotracheal intubation on patients with acute exacerbation of chronic obstructive pulmonary disease (AE-COPD) and type Ⅱ respiratory failure, and to analyze the related factors of treatment. Methods From October 2000 to December 2006, 26 patients with AECOPD and type Ⅱ respiratory failure in our hospital were treated with mechanical ventilation at 2, 24 hours after tracheal intubation and at the end of treatment. The mental status, respiratory rate (RR), heart rate (HR) ), Changes in blood gas analysis. Results After treatment for 2, 24 hours, RR, HR, conscientiousness and blood gas analysis indexes were significantly improved after the treatment. Conclusion Tracheal intubation mechanical ventilation is an effective method for the treatment of AECOPD and type Ⅱ respiratory failure.