国际医药卫生导报
國際醫藥衛生導報
국제의약위생도보
INTERNATIONAL MEDICINE & HEALTH GUIDANCE NEWS
2009年
7期
38-41
,共4页
呼吸窘迫综合征%机械通气%营养支持%治疗
呼吸窘迫綜閤徵%機械通氣%營養支持%治療
호흡군박종합정%궤계통기%영양지지%치료
Respiratory distress syndrome%Mechanical ventilation%Nutritional support%Treatment
目的 探讨急性呼吸窘迫综合征(ARDS)患者机械通气和营养支持治疗的临床特点及治疗效果.方法 回顾性分析52例ARDS患者经机械通气和营养支持治疗的临床资料.结果 52例ARDS机械通气患者1次脱机成功者42例,2次脱机成功者7例,3次脱机成功者3例.机械通气3～10d,无1例依赖呼吸机.TPN支持4～12d,完全胃肠外营养(TPN)支持期间合并高血糖5例,消化道出血6例,肺感染、呼吸衰竭7例,无1例中心静脉置管并发症.52例患者经综合治疗,45例病情控制好转,有效率86.5%,7例死亡(13.5%),死亡原因为多器官功能衰竭.住ICU时间(7.50±0.85)天.结论 ARDS目前尚无特异的治疗手段,及时采取有效的机械通气和营养支持治疗可提高抢救的成功率.
目的 探討急性呼吸窘迫綜閤徵(ARDS)患者機械通氣和營養支持治療的臨床特點及治療效果.方法 迴顧性分析52例ARDS患者經機械通氣和營養支持治療的臨床資料.結果 52例ARDS機械通氣患者1次脫機成功者42例,2次脫機成功者7例,3次脫機成功者3例.機械通氣3～10d,無1例依賴呼吸機.TPN支持4～12d,完全胃腸外營養(TPN)支持期間閤併高血糖5例,消化道齣血6例,肺感染、呼吸衰竭7例,無1例中心靜脈置管併髮癥.52例患者經綜閤治療,45例病情控製好轉,有效率86.5%,7例死亡(13.5%),死亡原因為多器官功能衰竭.住ICU時間(7.50±0.85)天.結論 ARDS目前尚無特異的治療手段,及時採取有效的機械通氣和營養支持治療可提高搶救的成功率.
목적 탐토급성호흡군박종합정(ARDS)환자궤계통기화영양지지치료적림상특점급치료효과.방법 회고성분석52례ARDS환자경궤계통기화영양지지치료적림상자료.결과 52례ARDS궤계통기환자1차탈궤성공자42례,2차탈궤성공자7례,3차탈궤성공자3례.궤계통기3～10d,무1례의뢰호흡궤.TPN지지4～12d,완전위장외영양(TPN)지지기간합병고혈당5례,소화도출혈6례,폐감염、호흡쇠갈7례,무1례중심정맥치관병발증.52례환자경종합치료,45례병정공제호전,유효솔86.5%,7례사망(13.5%),사망원인위다기관공능쇠갈.주ICU시간(7.50±0.85)천.결론 ARDS목전상무특이적치료수단,급시채취유효적궤계통기화영양지지치료가제고창구적성공솔.
Objective To investigate the acute respiratory distress syndrome (ARDS) in patients with mechanical ventilation and nutritional support for the clinical features and treatment. Methods Retrospective analysis of 52 cases of ARDS patients with mechanical ventilation and nutritional support for clinical data. Results 52eases of ARDS patients with mechanical ventilation 1st successful offline 42 eases, 2 times offline successful seven cases, 3 times 3 cases of successful oflline. Mechanical ventilation 3 ～ 10d, and no case of ventilator-dependent. TPN support 4 ～ 12d, TPN support during the merger of five cases of high blood sugar, six cases of gastrointestinal hemorrhage, pulmonary infection, respiratory failure, 7 cases, no case of central venous catheter complications. 52cases of patients with comprehensive treatment, 45 eases of the disease control improved, 86.5 percent efficient, seven cases of death (13.5%), cause of death was multiple organ failure. LCU stay time (7.50 ± 0.85) days. Conclusions ARDS is currently no specific treatment, to take timely and effective support of mechanical ventilation and nutrition therapy can improve the success rate of rescue.
