中国基层医药
中國基層醫藥
중국기층의약
CHINESE JOURNAL OF PRIMARY MEDICINE AND PHARMACY
2012年
24期
3721-3722
,共2页
脑干出血%呼吸功能不全%呼吸,人工
腦榦齣血%呼吸功能不全%呼吸,人工
뇌간출혈%호흡공능불전%호흡,인공
Brain stem hemorrhage%Respiratory insufficiency%Respiration,artificial
目的 观察呼吸机辅助呼吸治疗脑干出血并发呼吸衰竭的临床疗效.方法 回顾性分析29例脑干出血并发呼吸衰竭患者的临床资料,在给予常规对症治疗的基础上,予以呼吸机辅助呼吸治疗,分析呼吸机辅助治疗前后呼吸指标的变化.结果 治疗后,29例患者中好转出院11例(37.9％),自动出院10例(34.5％),死亡8例(27.5％);呼吸频率、氧分压、二氧化碳分压、血氧饱和度等均较治疗前明显改善(t=4.932、4.393、3.784、3.297,均P＜0.05);血浆白蛋白水平、Glasgow评分等均较治疗前明显改善(t=2.675、4.947,均P＜0.05),治疗前后血糖水平、外周血白细胞计数差异均无统计学意义(t=1.037、0.852,均P＞0.05).结论 采用呼吸机辅助呼吸治疗脑干出血并发呼吸衰竭能显著改善各项呼吸指标,提高患者的生存率.
目的 觀察呼吸機輔助呼吸治療腦榦齣血併髮呼吸衰竭的臨床療效.方法 迴顧性分析29例腦榦齣血併髮呼吸衰竭患者的臨床資料,在給予常規對癥治療的基礎上,予以呼吸機輔助呼吸治療,分析呼吸機輔助治療前後呼吸指標的變化.結果 治療後,29例患者中好轉齣院11例(37.9％),自動齣院10例(34.5％),死亡8例(27.5％);呼吸頻率、氧分壓、二氧化碳分壓、血氧飽和度等均較治療前明顯改善(t=4.932、4.393、3.784、3.297,均P＜0.05);血漿白蛋白水平、Glasgow評分等均較治療前明顯改善(t=2.675、4.947,均P＜0.05),治療前後血糖水平、外週血白細胞計數差異均無統計學意義(t=1.037、0.852,均P＞0.05).結論 採用呼吸機輔助呼吸治療腦榦齣血併髮呼吸衰竭能顯著改善各項呼吸指標,提高患者的生存率.
목적 관찰호흡궤보조호흡치료뇌간출혈병발호흡쇠갈적림상료효.방법 회고성분석29례뇌간출혈병발호흡쇠갈환자적림상자료,재급여상규대증치료적기출상,여이호흡궤보조호흡치료,분석호흡궤보조치료전후호흡지표적변화.결과 치료후,29례환자중호전출원11례(37.9％),자동출원10례(34.5％),사망8례(27.5％);호흡빈솔、양분압、이양화탄분압、혈양포화도등균교치료전명현개선(t=4.932、4.393、3.784、3.297,균P＜0.05);혈장백단백수평、Glasgow평분등균교치료전명현개선(t=2.675、4.947,균P＜0.05),치료전후혈당수평、외주혈백세포계수차이균무통계학의의(t=1.037、0.852,균P＞0.05).결론 채용호흡궤보조호흡치료뇌간출혈병발호흡쇠갈능현저개선각항호흡지표,제고환자적생존솔.
Objective To observe the clinical efficacy of ventilator-assisted breathing for the treatment of respiratory failure brainstem hemorrhage.Methods Clinical data of 29 cases of brainstem hemorrhage complicated with respiratory failure were retrospectively analyzed.Patients were treated with conventional symptomatic treatment based on ventilator-assisted breathing therapy and before and after treatment of ventilator-assisted breathing index changes were analyzed.Results After treatment,29 patients improved and discharged 11 patients(37.9％),and automatically discharged 10 patients(34.5 ％),8 patients died(27.5％);R,PaO2,PaCO2,SaO2 significantly improved than before treatment(t=4.932,4.393,3.784,3.297,all P＜0.05);compared with pre-treatment plasma albumin level,Glasgow score improved significantly(t=2.675,4.947,all P＜0.05),blood glucose level before and after treatment,peripheral blood leukocytes count had no statistically significant differences(t=1.037,0.852,all P＞0.05).Conclusion Ventilator-assisted respiratory therapy brainstem hemorrhage complicated with respiratory failure can significantly improve various respiratory indicators,improve the survival rate.
