104例有创机械通气呼吸机常见报警和原因分析  

Analysis of the Causes of 104 Ventilator Alarms

作　　者：陈凤佳[1] 易慧[1] 曾勉[1] 

机构地区：[1]中山大学附属第一医院内科ICU,广东广州510080

出　　处：《中国呼吸与危重监护杂志》2010年第6期564-566,共3页Chinese Journal of Respiratory and Critical Care Medicine

摘　　要：目的探讨有创机械通气时呼吸机常见报警原因及处理,提高临床一线医务人员对呼吸机报警的处理能力,保障患者有创机械通气治疗的安全性和有效性。方法对中山大学附属第一医院MICU 2007年9月至2008年8月45例行有创机械通气治疗患者出现呼吸机故障和报警,一线医生不能查清原因和排除,而由呼吸治疗师及上级医师处理的104例次资料进行回顾性分析。结果 104例次呼吸机报警中,由于呼吸回路因素报警占27例次(26.0%);由于患者焦虑、恐慌或者疼痛造成的人机对抗所引起报警占18例次(17.5%);呼吸机参数设置不合理导致的报警占15例次(14.4%);气道因素占13例次(12.5%);呼吸机故障5例次(4.8%);患者病情变化引起占4例次(3.6%);其余占22例次(21.2%)。结论在有创机械通气的实施中,有效判断、及时准确的处理各项呼吸机报警,对保障患者呼吸治疗的安全性和有效性非常重要。Objective To analyze the common causes of ventilator alarms during mechanical ventilation and their management.Methods A total of 104 ventilator alarms that were not instantly solved by first-line residents but referred to pulmonary therapist and attending physicians during September 2007 and August 2008 in the MICU of our hospital were analyzed retrospectively.Results Of all the 104 ventilator alarms,27（26%） were due to problems of ventilation circuits;18 were due to patient effort against ventilator secondary to anxiety,horror or pain;15 were due to inappropriate ventilator parameters;13 were due to airway problems;5 were due to ventilator malfunction;4 were due to worsening clinical status;22 were due to other causes.Conclusion During mechanical ventilation,accurate assessment and prompt management of ventilator alarms are of great importance to patient safety and ventilation efficacy.

关 键 词：机械通气 呼吸机 报警 

分 类 号：R459.7[医药卫生—急诊医学]