有创无创机械通气联合治疗COPD合并急性呼吸衰竭  

The effect of combined treatment by invasive and noninvasive mechanical ventilation on COPD patients with exacerbate respiratory failure

作　　者：江利东[1,2] 姜远普[1,2] 

机构地区：[1]成都市第三人民医院 [2]重庆医科大学成都第二临床学院ICU,四川成都610031

出　　处：《四川医学》2011年第7期1046-1047,共2页Sichuan Medical Journal

摘　　要：目的探讨有创无创机械通气联合治疗COPD合并急性呼吸衰竭的应用价值。方法 35例因COPD急性发作,支气管、肺部感染加重,并发急性呼吸衰竭而收入我院ICU的患者采用有创无创机械通气联合治疗。结果 35例患者均成功脱机。结论有创无创机械通气联合应用减少了IPPV的应用时间,避免了IPPV应用时间长而出现的诸多弊端,充分发挥了无创机械通气无创和并发症少的优点。Objective To investigate the practical value of combined treatment by invasive and noninvasive mechanical ventilation on COPD patients with exacerbate respiratory failure.Methods 35 cases of COPD acute exacerbation with tracheobronchial pulmonary infection,complicated by Exacerbate Respiratory Failure were treated with invasive and noninvasive mechanical ventilation.Results All 35 patients successfully remove the respirator.Conclusion Combined treatment by invasive and noninvasive mechanical ventilation can reduce the IPPV using time,avoid disadvantage resulted from long time using IPPV,can adequately utilize the noninvasive and less complication advantage of noninvasive mechanical ventilation treatment.

关 键 词：COPD 呼吸衰竭 有创机械通气 无创机械通气 

分 类 号：R563.8[医药卫生—呼吸系统]