机械通气间断撤机治疗脑干出血呼吸衰竭45例分析  

The application of wearing gradually from mechanical ventilation after brain stem hemorrhage patients with respiratory failure were rescued by mechanism ventilators

作　　者：刘海峰[1] 卢中秋[1] 邱俏檬[1] 

机构地区：[1]温州医学院附属第一医院急诊科,浙江温州325000

出　　处：《中国实用内科杂志》2009年第1期71-72,共2页Chinese Journal of Practical Internal Medicine

摘　　要：目的探讨急性脑干出血并发中枢性呼吸衰竭患者行机械通气后如何成功撤离呼吸机的问题。方法回顾性分析2003年1月至2007年12月温州医学院附属第一医院急诊科45例急性自发性脑干出血并发呼吸衰竭行机械通气患者的临床资料。比较患者首次撤机成功或者失败时的各种指标。结果15例(33.3%)患者经积极治疗后首次撤机成功;30例(66.7%)撤机失败的患者在积极控制肺部感染、加强营养、间断撤机等治疗3～7d后成功撤机。患者机械通气时间为6～35d。结论急性脑干出血并发中枢性呼吸衰竭行机械通气,首次撤机的成功率低,间断脱机治疗可以用来帮助患者成功撤机。此外,加强营养的摄入、控制肺部感染以及各种并发症,有利于成功撤机。Objective To investigate methods of weaning acute brain stem hemorrage patients with respiratory failure from mechanical ventilation. Methods This was a retrospective analysis of 45 acute brain stem hemorrage patients with respiratory failure requiring mechanical ventilaiton. Results 15 （33.3%） patients were successfully weaned from mechanical ventilation for the first time;the other 30 （66.7%） patients failed in the first place,then succeeded after 3 -7 days of and occasional disconnection from ventilation. The time of mechanical ventilation varied from 6 to 35 days. Conclusion It is difficult to wean acute brain stem hemorrage patients with respiratory failure from mechanical ventilation. Occasional disconnetion from ventilaiton, antiinfection and nutritional supplementation might contribute to successful weanning.

关 键 词：脑干出血 呼吸衰竭 机械通气 

分 类 号：R5[医药卫生—内科学]