机械通气为主的综合治疗在吸入性肺炎致急性呼吸衰竭中的应用

Application of combined therapy based on the principle of machanical ventilation in acute respiratory failure induced by aspiratory pneumonia

目的探讨机械通气为主的综合治疗在吸人性肺炎致急性呼吸衰竭的具体应用，提高临床对此类疾病的认识。方法收集32例因吸入性肺炎致急性呼吸衰竭而入住ICU的患者的临床资料作一回顾性分析。结果所有患者均在ICU住院治疗，平均入住ICU时间达到（9．5±2．2）d，经过以加强气道管理为主的综合治疗包括积极的机械通气，动态抗感染药物应用，适量短程的激素应用，加强气道管理，营养支持等，所有患者均有临床好转阶段的出现，但5洌因经济原因自动出院，7例最终因基础条件太差，出现MODS而死亡。结论吸人性肺炎致急性呼吸衰竭常出现严重低氧血症，病情危重，但在ICU可通过以机械通气为主的综合治疗，预后尚佳。

Objective To explore the application of combined therapy based on the principle of maehanieal ventilation in acute respiratory failure by aspiratory pneumonia. Methods 32 cases of acute respiratory failure induced by aspiratory pneumonia were collected by retrospective analysis. Results With the combined therapy based on the principle of machanical ventilation ,30 patients take a favorable turn. Conclusion With the therapy of anti-infection, energetic respiratory support, nutrition support etc,the patients＇ prognosis suffering from acute respiratory failure by cerebral apoplexy with aspiratory pneumonia are fine.