| 肖明生 彭恩兰 许宏华.高频呼吸机救治老年呼吸衰竭疗效分析[J].实用中西医结合临床,2006,(2):6-，20 |
| 高频呼吸机救治老年呼吸衰竭疗效分析 |
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| DOI： |
| 中文关键词: 老年人 呼吸衰竭 高频通气 高频呼吸机 |
| 英文关键词: old age breath failure high frequency ventilation treatment |
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| 摘要点击次数: 571 |
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| 中文摘要: |
| 目的：观察TKP新型高频呼吸机高频喷射通气（HFJV）对老年呼吸衰竭患者的治疗作用和安全性能。方法：采用回顾性调查方法，研究分析37例老年呼吸衰竭患者在常规治疗基础上合并科学使用HFJV治疗的情况，观察应用HFJV前、后患者呼吸频率（RR）、心率（HR）及血气分析（pH、PaO2、PaCO2、SaO2）的变化及HFJV的并发症。结果：37例老年呼吸衰竭者中32例显效（86.48%），3例有效（8.11%），2例无效（5.41%）。6例患者出现鼻咽部干燥，2例患者出现腹部胀气。所有患者应用HFJV治疗后24h及撤机时RR、HR较应用前显著降低（P <0.01），PaO2、SaO2较应用前显著升高（P <0.01），18例Ⅰ型呼衰患者应用HFJV治疗后24h及撤机时pH、PaCO2较应用前无明显变化，19例Ⅱ型呼衰患者应用HFJV治疗后24hPaCO2较应用前明显升高（P <0.05），撤机后PaCO2较应用前显著降低（P <0.01）。结论：科学合理使用HFJV可显著改善老年呼吸衰竭患者呼吸困难症状，纠正低氧血症，减少二氧化碳潴留，降低病死率，是一种安全、有效、无创的机械通气方式。 |
| 英文摘要: |
| Objective：Observe the TKP new high frequency life-support machine high frequency to spray ventilates(HFJV) to the old age breath failure patient’s treatment function and the securtyper formance.Method：Use the review investigation method，the research analyzes 37examples old ages breath failure patient to use merge the science in the conventional treatment foundation to use the situation which HFJV.The observation applies in front of HFJV，the futrre trouble breath frequency(RR)，the heart rate (HR)and the blood gas analysis (pH，PaO2，PaCO2，SaO2))change and HFJV illness complication.Result：32examples show results(86.48%)，3examples effective(8.11%)，2 examples are invalid(5.41%).6 exmples patients appear the nasopharynx department to be dry.2 examples patients appear the abdomen inflation.All patients treat the latter 24 hours using HFJV as well as remove the machine-hour breath frequency(RR)，the heart rate(HR) compare before the application remarkably to reduce(P <0.01), PaO2,SaO2 compare before the application remarkably to elevate (P <0.01)； 18 examples I breath failoure patient Treats the latter 24 hours using HFJV as well as removes machine-hour pH，PaCO2 compares before the application not to have the obvious change；19 examples Ⅱ breath failure patient treats latter 24 hour PaCO2 using HFJV to compare before the application obviously to elevate(P <0.01)，after removing machine PaCO2 compares before the application remarkably to reduce(P <0.01).Conclusion：The science reasonably uses HFJV to be possible remarkably to improve the breath failure patient to breathe the difficult symptom，corrects the low oxygen blood sickness，reduces the carbon dioxide to gather，reduces the case fatality rate，is the machinery which one kind of security is effective，does not have creates ventilates the way. |
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