经鼻气管插管机械通气在抢救慢性肺心病合并呼吸衰竭中的应用  

A application of nasotracheal and mechanical ventilation in treating cor pulmonale patients complicated with respiratory failure

作　　者：胡尚基[1] 姚天樵[1] 朱惠娟 

机构地区：[1]首都医科大学附属北京安贞医院

出　　处：《北京医学》1998年第1期13-15,共3页Beijing Medical Journal

摘　　要：１９９１年以来，采用经鼻气管插管进行机械通气抢救４２例肺心病合并呼吸衰竭患者。３７例患者病情缓解而拔管，５例改行气管切开。导管留置时间５～２４天，平均１１天。在插管时引起鼻出血３例，心律失常２例。并发症发生率１１．９％。机械通气治疗期间死亡８例。抢救成功率为８１％。经鼻插管的优越性是：插管时间早、保留时间长。In recent six years,nasotracheal intubation and mechanical ventilation were given to 42 COPD patients complicated with respiratory failure. Among them 37 cases of tubes could be with drow according to the improvement and 5 cases were tracheotomized. The tubes were kept for 5 to 24 days. The incidence of complication with nasotracheal was 11.9%, in them,3 cases were nosebleed and 2 cases arrhythmia. In the period of ventilation, 8 cases died. The successful rate was 81%. The advantage of nosotracheal intubation was:the time of intubation was early and kept longer. It could be performed repeatedly and safely, so it should be widely used.

关 键 词：肺心病 呼吸衰竭 急救 机械通气 

分 类 号：R541.5[医药卫生—心血管疾病] R563.805[医药卫生—内科学]