慢性阻塞性肺疾病继发急性呼吸衰竭机械通气治疗10例分析

CLINICAL ANALYSIS OF MECHANICAL VENTILATION THERAPY FOR ACUTE RESPIRATORY FAILURE CAUSED BY COPD

目的：探讨慢性阻塞性肺疾病（ＣＯＰＤ）所致急性呼吸衰竭行机械通气（ＭＶ）治疗的转归及其影响因素。方法：通过对１０例ＣＯＰＤ所致急性呼吸衰竭患者的资料分析，评价ＭＶ治疗的临床疗效。结果：９例在２～４２天内撤机并拔管存活。结论：适宜的ＭＶ参数调节，良好的呼吸道管理，预防感染和营养支持对尽早撤机非常重要，其预后较好。

Objective:To evaluate the clinical outcome and affecting factors of mechanical ventilation(MV) therapy for acute respiratory failure caused by COPD.Methods:The clinical effectiveness of the MV therapy were analysed in 10 cases of acute respiratory failure caused by COPD.Results:Nine of the 10 patients survived who were weaned from MV and extubated within 3～42 days.Conclusion:Proper regulation of parameters of MV,good management of the respiratory tract,prevention of the nosocomial infection and nutritional support are very important for weaning the patients from MV early and getting a good prognosis.