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本文分析1970年1月至1977年5月间39例42次机械通气。39例末次哮喘发作至住院平均7天。入院前、后有19例使用了镇静剂.1例静注安定数分钟心跳呼吸骤停,另4例在使用镇静剂后数小时,需进行机械通气.有28例经静注支气管扩张剂、氢化可的松,湿化吸入支气管扩张剂后,因嗜睡、恍惚、衰竭和CO_2潴留加重而行气管插管。13例进行紧急插管,8例到达医院时里濒死状态,另5例入院后发生心跳呼吸骤停.4例在进行机械通气时死亡:1例张力性气胸,1例因呼吸器通气置不足,1例插管时即有不可逆的脑组织损害,第4例因过早拔管,当再行插管时遇到困难而死亡.
This article analyzes 39 cases of 42 mechanical ventilation between January 1970 and May 1977. The last episode of 39 patients was hospitalized for an average of 7 days. Before and after admission, there were 19 cases of sedatives, 1 case of intravenous stability and minutes of heartbeat and respiratory arrest, the other 4 cases of sedation after a few hours, the need for mechanical ventilation.There were 28 cases of intravenous bronchodilators, hydrogenation Of the pine, humidification inhaled bronchodilator, due to lethargy, trance, failure and increased CO2 tracheal intubation. Thirteen patients underwent emergency intubation, eight died at the hospital, another five had cardiac arrest after hospital admission.4 patients died of mechanical ventilation: one patient had tension pneumothorax and one patient was ventilated by ventilator Insufficient, 1 case of intubation irreversible brain tissue damage, the first 4 cases due to premature extubation, when the re-intubation encountered difficulties and died.