机械通气在颈椎损伤术后合并呼吸衰竭的临床应用

Clinical application of mechanical ventilation in cervical spine injury surgery with respiratory failure

目的探讨机械通气在颈椎术后合并呼吸衰竭的应用。方法回顾性分析32例颈椎损伤术后合并呼吸衰竭应用机械通气患者的疗效。结果26例患者安全度过急性期，2例患者抢救无效死亡，4例患者因经费原因放弃治疗而自动出院。结论颈椎损伤术后合并呼吸衰竭有效地应用机械通气可使患者顺利度过围术期，提高手术疗效，降低患者病死率，是一种有效的辅助治疗措施。

Objective To investigate the application of mechanical ventilation in cervical spine injury with postoperative respiratory failure. Methods The effects of mechanical ventilation on 32 cases of cervical spine injury with respiratory failure were retrospectively analyzed. Results Twenty-six patients survived the acute period safely, 2 patients died, 4 patients gave up the treatment due to financial reasons and discharged automatically. Conclusions Effective application of mechanical ventilation in cervical spine injury complicated with postoperative respiratory failure, can make the patients pass through perioperative period, improve operation effectively, reduce the morbidity and mortality. It is an effective adjunctive treatment measure.