论文部分内容阅读
高频呼吸机,近年来已广泛使用于临床。我院在使用中发生二例皮下气肿,现报告如下:例1,男,72岁,住院号279707。以发热,肺部感染入院。体检:呼吸浅速,速率30次/分.鼻翼扇动,口唇青紫,轻度意识障碍。两肺可闻痰鸣音,右肺底有中少量湿性罗音.血气分析:氧分压6.5kpa,氧化碳分压4.8kpa.入院诊断为肺部感染,低氧血症Ⅰ型呼衰.在使用高频呼吸机提高氧分压时,我们使用南昌无线电十厂生产的Hfv-Ⅰ型双阀门式高频喷射呼吸机(最低工作频率60次/分,呼吸比1:1,压力0.2～
High-frequency ventilator, in recent years has been widely used in clinical. Two cases of subcutaneous emphysema occurred in our hospital, are as follows: Example 1, male, 72 years old, hospital number 279707. To fever, lung infection admitted. Physical examination: shallow breathing, the rate of 30 beats / min. Fan nose, blue lips, mild disturbance of consciousness. Phlegm lungs can be heard in both lungs, right lung bottom in a small amount of wet rales. Blood gas analysis: partial pressure of oxygen 6.5kpa, partial pressure of carbon dioxide 4.8kpa. Admission diagnosis of pulmonary infection, hypoxemia type Ⅰ respiratory failure. When using high-frequency ventilator to increase oxygen partial pressure, we use Hfv-Ⅰ dual-valve high-frequency jet ventilator manufactured by Nanchang Radio Ten Factory (the minimum operating frequency is 60 beats / min, the respiratory rate is 1: 1 and the pressure is 0.2 ~