高龄患者术后呼吸衰竭治疗的临床分析  

An clinical analysis of treatment in elderly patients with postoperative respiratory failure

作　　者：胡新华[1] 葛春林[1] 朱建民[1] 王玲[1] 张媛园[1] 

机构地区：[1]上海市徐汇区中心医院,200031

出　　处：《中国临床实用医学》2009年第2期27-28,共2页China Clinical Practical Medicine

摘　　要：目的总结高龄患者术后并发严重呼吸衰竭的治疗经验。方法术后并发呼吸衰竭的高龄患者12例，在积极治疗原发疾病的同时，给予了较长时间机械通气（通气时间15～61d，平均27．6d），以及敏感抗生素和营养支持治疗。结果12例患者均成功脱机拔管，治愈出院。结论高龄患者术后并发严重呼吸衰竭时，在维持适当机械通气的条件下，给予积极的原发疾病治疗、有效的抗感染以及合理的营养支持等对于呼吸衰竭的治疗十分重要。Objective To summarize the treatment experience in elderly patients with severe postoperative respiratory failure （PRF）. Methods Twelve eases of elderly patients with severe PRF in effective treatment of primary disease, at the same time have given the long time and suitable mechanical ventilation （ventilation time 15 - 61 days, average 27.6 days） , as well as the sensitive treatment of antibiotics and nutritional support. Results Twelve patients were successfully from the ventilator and extubation, cured and discharged. Conclusion With the maintenance of adequate ventilation conditions, to give a positive treatment of the primary disease, an effective anti-infective and a reasonable nutrition support for elderly patients with severe PRF is very important.

关 键 词：高龄 手术后期间 呼吸衰竭/治疗 通气 

分 类 号：R563[医药卫生—呼吸系统]