呼吸兴奋剂治疗老年人慢性阻塞性肺病呼吸衰竭的临床观察  

THEEFFICACY OF RESPIRATORY STIMULANT IN THE AGED WITH CHRONIC OBSTRUCTIVE PULMONARY DISEASES DURING ACUTERESPIRATORY FAILURE

作　　者：黄小健 

出　　处：《湖南医科大学学报》1994年第6期535-537,共3页Bulletin of Hunan Medical University

摘　　要：通过对３０例慢性阻塞性肺病慢性吸呼衰竭急性加重期（Ⅱ型）老年病人的血气分析及呼吸兴奋剂疗效的临床观察，探讨呼吸兴奋剂的临床使用价值。结果显示：呼吸兴奋剂治疗呼吸衰竭口型的效果，并不决定于ＰａＣＯ２增高的程度，而在于ＰａＯ２下降的程度。当此类药物治疗无效时，进行气管插管或气管切开予以机械通气，同样是该症老年病人抢救成功的有效措施。his paper reports the clinical observation on the efficacy of the respiratory stimulantsin the 30 aged with chronic obstructive pulmonary diseases during acute respiratory failure.The results indicate that the efficacy of the respiratory stimulant(nikethamide combinedwith lobeline)depends on a decrease of PaO2;but not oh an increase of PaCO2 during respira-tory failure II.It is necessary to operate an endotracheal insert or perform tracheotomy imme-diately when the treatment of respiratory stimulants has no effect.

关 键 词：肺疾病 阻塞性 尼可刹米 山梗菜碱 呼吸衰竭 

分 类 号：R563.05[医药卫生—呼吸系统] R563.805[医药卫生—内科学]