慢性阻塞性肺疾病合并Ⅱ型呼吸衰竭的治疗探讨  

TREATMENT OF CHRONIC OBSTRUCTIVE PULMONARY DISEASE (COPD) WITH TYPE II RESPIRATORY FAILURE

作　　者：刘树基[1] 梁贤球[1] 汤玉环[1] 邝莉萍[1] 

机构地区：[1]广州医学院附属市二人民医院急诊科,510150

出　　处：《青海医药杂志》2003年第7期2-4,共3页Qinghai Medical Journal

摘　　要：目的 :探讨常规药物和机械通气治疗慢性阻塞性肺疾病 (COPD)合并Ⅱ型呼吸衰竭的疗效与转归 ;方法 :对 1 995年— 2 0 0 2年间收治的COPD合并Ⅱ型呼吸衰竭 1 65例 ,分为常规药物治疗组和机械通气组 ,进行治疗前后动脉血气分析比较 ,并记录两组死亡情况 ;结果 :1 65例病例死亡 69例 ,死亡率 41 .82 % ,其中常规药物治疗组 94例 ,死亡 52例 ,死亡率 55.3 2 % ;机械通气组 71例 ,死亡 1 7例 ,死亡率2 3 .94% ;结论 :机械通气是COPD合并Ⅱ型呼吸衰竭时最为有效的改善通气的措施 ,合理选用呼吸机的模式及参数对于机械通气非常重要。Objective:To study the efficacy and prognosis in both routine medical therapy and mechanical ventilation in patients of COPD with type II respiratory failure.Methods:A total of 165 cases of COPD with type II respiratory failure,who hospitalized in our hospital from 1995 to 2002 were designed in two groups, 94 cases in medical group (72 males, 22 females, mean ages 70.4±9.3) and 71 cases in gas group (54 males, 17 females, mean ages 71.3±9.4). The level of blood gas such as SaO 2, PaO 2, PaCO 2 and PH etc. were examined before and after treatment and record the number of dead.Results:69 of 165 cases were dead (41.8%),including:52 of medical group were dead (55.32%); 17 of gas group were dead (23.94%).Conclusion:Mechanical ventilation was the most effective therapy to improve ventilation in patients of COPD with type II respiratory failure. It was very important to choose the proper mode and parameter in mechanical ventilation.

关 键 词：慢性阻塞性肺疾病 合并症 Ⅱ型呼吸衰竭 机械通气 药物治疗 

分 类 号：R563[医药卫生—呼吸系统]