期刊文献+

80例开胸术后常见并发症的防治对策分析 被引量:4

Experience of prevention and treatment of pulmonary complications following thoracotomy in 80 cases
下载PDF
导出
摘要 目的探讨开胸术后患者常见并发症的防治方法。方法回顾分析2005年1月至2009年12月收治的80例开胸手术患者术后并发症的防治情况。结果 50例术后实施呼吸机呼吸支持的患者无一例发生呼吸衰竭、脓胸、肺部感染、肺不张和胸腔积液;30例术后未使用呼吸支持的患者中发生5例胸腔积液、1例脓胸、2例肺部感染伴肺不张。结论人工呼吸机是胸心外科不可缺少的设备之一,开胸术后的患者及时使用呼吸机行呼吸支持对促进肺复张、防治并发症等方面将起到积极而重要的作用。 Objective To evaluate the effects of machnical ventilation using for prevention and treatment of pulmonary complications following thoracotomy.Methods From January 2005 to December 2009,80 cases of thoracotomy were performed in our hospital.The clinical characteristics,diagnosis and outcome of those patients were analyzed retrospectively.Results 50 cases out of 80 used respiratory support after operation and there was no case complicated with respiratory failure,empyema,pulmonary infection,atelectasis and pleural effusion,while in the rest 30 cases without using respiratory supporting,there were 5 cases of hydrothorax,1 case of empyema and 2 cases of pulmonary infection complicating atelectasis.Conclusion Artificial respiration machine is one of indispensable devices for cardiothoracic surgery,which can play an important role in promoting lung recruitment,preventing and treating complications.
作者 金真云
出处 《检验医学与临床》 CAS 2011年第7期781-782,共2页 Laboratory Medicine and Clinic
关键词 开胸术 并发症 呼吸机 thoracotomy breathing machine complications
  • 相关文献

参考文献13

二级参考文献24

  • 1程德云,陈文彬.对复张性肺水肿的新认识[J].中华内科杂志,1993,32(7):435-437. 被引量:39
  • 2刘又宁,佘丹阳.我国下呼吸道感染致病原的构成、耐药特点及治疗策略[J].中国临床医生杂志,2005,33(3):2-6. 被引量:27
  • 3Hirvela ER. Advances in the management of acute respiratory distress syndrome : Protective ventilation [J]. Arch Surg, 2000,135(2) :126- 135.
  • 4Laffey JG, O'Croinin D, McLoughlin P, et al. Permissive hypercapnia-role in protective lung ventilatory strategies [J]. Intensive Care Med, 2004,30( 3 ) :347 - 356.
  • 5Suchyta MR, Orme JF, Morris AH. The changing face of organ failure in ARDS [J]. Chest, 2003,124(5) :1871-1879.
  • 6Rosario ND,Sassoon CSH,Gruer CSE,et al.Breathing pattern during acute respiratory failure and recovery[J].Eur Respir J,1997,10:2560.
  • 7Villar J,Kacmarek RM,Perez-Mendez L,et al.A high positive end-expiratory pressure,low tidal volume ventilatory strategy improves outcome in persistent acute respiratory distress syndrome:a randomized,controlled trial[J].Crit Care Med,2006,34(5):1311 -1318.
  • 8Keenan SP,Heyland DK,Jacka MJ,et al.Ventilator-associated pneumonia,Prevention,diagnosis,and therapy[J].Crit Care Clin,2002,18 (1):107-125.
  • 9Torres A,AznarR,Gattll,JM,et al,Incidence,risk,and prognosis factors of nosocomial pneumonia in mechanccally ventilated patients[J].Am Rev Respir Dis,1990;142:523.
  • 10Frank JA,Matthay MA.Science review:mechanism of ventilator-induced injury[J].crit care.2003;7:233.

共引文献35

同被引文献32

引证文献4

二级引证文献14

相关作者

内容加载中请稍等...

相关机构

内容加载中请稍等...

相关主题

内容加载中请稍等...

浏览历史

内容加载中请稍等...
;
使用帮助 返回顶部