机械通气在抢救外科危重病患者中的应用策略  

Tactics of mechanical ventilation used in treatment of surgical critical cases

作　　者：褚海波[1] 祝筱姬[1] 潘龙文[1] 黄凤瑞[1] 赵志钢[1] 孙学军[1] 王怡波[1] 李鹏程[1] 韩殿冰[1] 

机构地区：[1]89医院

出　　处：《实用医药杂志》2003年第2期83-85,共3页Practical Journal of Medicine & Pharmacy

摘　　要：目的探讨机械通气在抢救外科危重病患者中的应用策略。方法对10例外科危重病患者在出现呼吸危象的情况下,建立人工气道,应用呼吸机辅助呼吸。结果10例患者中,脱离呼吸机9例;痊愈6例,死亡3例,植物人1例,最长通气时间152d。结论对外科危重病患者及早行机械通气是治疗呼吸衰竭最有效和迅速的方法。小潮气量通气、把握呼吸机撤离的时机、维持水电酸碱平衡、加强营养支持、控制感染是减少并发症、提高抢救成功率的关键。Object ive To investigate the tactics of mechanical ventilation used in the treatment of surgical critical cases.Methods Ten critical cases were built artificial ai rway and received mechanical ventilation when respiratory crisis occured.Result s Of all the10cases9were off mechanical ventilation,6were cured,3died,a nd1became vegetable.The longest ventilation period lasted152days.Conclusi on Early mechanical ventilation is the most effective and rapid method for respi ratory failure.Small tidal-volume ventilation,catching the opportunity of be ing off mechanical ventilation,maintaining waterelectrolyte and acid-base bala nce,aggressive nutritional support,and controlling infection are the keys of r educing complications and advancing successful rate.

关 键 词：机械通气 急性呼吸窘迫综合征 危重病 外科 ARDS 应用 

分 类 号：R563.8[医药卫生—呼吸系统]