重症哮喘合并呼吸衰竭的呼吸机治疗观察  

Curative Observation on Ventilation Therapy for Patient with Severe Asthma Combined with Respiratory Failure

作　　者：王玉巧[1] 张丽萍[1] 

机构地区：[1]宁夏人民医院ICU科,宁夏银川750021

出　　处：《黑龙江医学》2008年第10期766-767,共2页Heilongjiang Medical Journal

摘　　要：目的观察小潮气量机械通气治疗重症哮喘的临床效果。方法58例重症哮喘患者均行机械通气为主的综合治疗,观察治疗效果及带机前后的pH值、PaO2、PaO2/FiO2、SpO2及PaCO2的变化。结果45例治疗后症状明显缓解,缓解率77.6%。9例死亡,4例自动出院,患者带机后各观察指标均得到明显好转,与带机前相比,差别具有统计学意义(P<0.05)。结论采用以机械通气为主的综合治疗,是重症哮喘合并呼吸衰竭患者安全有效的治疗方法。Objective To observe curative effect of severe asthma with small tidal volume ventilation. Methods 58 cases of severe asthma patient were underwent ventilation therapy. The PaO2, pH, PaO2/FiO2, SpO2 and PaCO2 changes before and after therapy were observed. Results 45 cases had relieved in symptom with 77.6% and 9 cases were dead, 4 cases discharged under their willing. All data after therapy were better than those before therapy with P 〈 0.05. Conclusion The complex therapy mainly with ventilation might be effective method for severe asthma combined with RF.

关 键 词：重症哮喘 呼吸衰竭 机械通气 

分 类 号：R562[医药卫生—呼吸系统]