早期有创机械通气在老年重症吸入性肺炎抢救中的价值  

Evaluation of early invasive mechanical ventilation as a treatment of severe aspiration pneumonia in the elderly

作　　者：槐永军[1] 王建华[1] 曲贝贝[1] 马壮[1] 

机构地区：[1]沈阳军区总医院呼吸与重症医学科,辽宁沈阳110840

出　　处：《临床军医杂志》2014年第3期225-226,237,共3页Clinical Journal of Medical Officers

摘　　要：目的探讨早期气管插管行机械通气在重症吸入性肺炎抢救中的价值。方法根据是否早期应用气管插管行机械通气将88例重症吸入性肺炎患者分为早期机械通气组(38例)和常规机械通气组(50例),比较两组患者C反应蛋白(CRP)指标、症状缓解时间、机械通气时间、住院时间及病死率。结果与常规机械通气组比较,早期机械通气组入院5 d后CRP低,症状缓解快,机械通气时间及住院时间短,住院期间病死率低。结论早期气管插管行机械通气治疗,能较快缓解重症吸入性肺炎的临床症状,减少机械通气时间,缩短住院时间,减少住院期间病死率。Objective To evaluate the effectiveness of early mechanical ventilation via endotracheal intubation on treatment of se- vere aspiration pneumonia in the elderly. Methods Eighty-eight elderly patients with severe aspiration pneumonia were divided into two groups,i, e. early mechanical ventilation group （ n = 38 ） and conventional mechanical ventilation group （ n = 50）. C-reactive protein （CRP） level, time of symptomatic relief, duration of mechanical ventilation, hospitalization time and mortality were compared between the two groups. Results Compared with conventional mechanical ventilation group, early mechanical ventilation group＇ s CRP level decreased 5 d after hospitalization ; time of symptomatic relief began early ; its duration of mechanical ventilation and hos- pitalization decreased; hospital mortality also decreased. Conclusion Early mechanical ventilation via endotracheal intubation makes the time of symptomatic relief begin early and helps to decrease the time mechanical ventilation and hospitalization and hospi- tal mortality in the elderly patients with severe aspiration pneumonia.

关 键 词：重症吸入性肺炎 气管插管 机械通气 

分 类 号：R563.1[医药卫生—呼吸系统]