机械通气治疗吸入性损伤致急性呼吸窘迫综合征

Mechanical ventilation treatment in acute respiratory distress syndrome induced by inhalation injury

目的:通过对24例吸入性损伤机械通气的治疗分析,探讨适宜的机械通气治疗策略以及减少其相关并发症,提高治愈率。方法:吸入性损伤致急性呼吸窘迫综合征24例,对其机械通气治疗的模式和效果进行分析。结果:24例中治愈21例,死亡3例。结论:早期机械通气治疗对于吸入性损伤致急性呼吸窘迫综合征具有积极的意义,合理选择和应用机械通气治疗模式可以有效地提高治愈率,两种新的通气模式HFJV和HFOV与PEEP/CPAP相比,同样显示出良好的应用前景。

Objective:To discuss the proper treatment of mechanical ventilation for acute respiratory distress syndrome (ARDS) induced by inhalation injury (INI).Methods:Measures and effects of mechanical ventilation were analyzed in a group of 24 cases admitted.Results:Among the 24 cases,21 patients were cured,3 patients died.Conclusion:Early mechanical ventilation therapy is significantly effective for ARDS induced by INI.The cure rate can be improved with appropriate venti- lation mode.Compared with the mode PEEP/CP...