早期控制呼吸在重度颅脑损伤患者中的应用

Application of early period respiratory control in severe craniocerebral injury patients

目的：探讨重度颅脑损伤患者早期控制呼吸的效果和护理方法。方法：对本组49例重度颅脑损伤患者，早期行机械通气，有自主呼吸存在的患者，清除人机对抗现象，根据血气分析结果调整呼吸机参数。结果：45例于8-26d自主呼吸平稳，顺利脱机，32例在20-32d神志转清醒，2例患者因就诊时多脏器功能衰竭死亡，2例患者放弃治疗。结论：早期控制呼吸，快速建立机械通气，加强呼吸道护理可避免并发症发生及降低病死率。

Objective ： To discuss the effect of application of early period respiratory control in severe craniocerebral injury and nursing care . Methods： 49 cases were early applied mechanical ventilation, parameters of mechanical ventilation were adjusted by the results of blood gas analysis. Results： 45 cases appeared eupnea and sedate during 8 -26d ,32 cases became conscious in 20 -32d, 2 cases died of multiple organ failure and 2 cases gave up during treatment. Conclusion： It is possible to reduce the morbility of complication and mortality in severe craniocerebral injury by the methods of early period respiratory control, mechanical ventilation and airway attendance.