慢性阻塞性肺疾病急性加重期有创通气低血压与血容量关系分析

The Clinical Observation and Intervention of Low Blood Pressure in AECOPD Patients Undergoing Invasive Mechanical Ventilation Calmly

目的观察慢性阻塞性肺疾病急性加重期(AECOPD)患者在安静下有创机械通气时低血压与血容量关系。方法采用回顾性分析2006年1月—2011年12月我院收治的78例在安静下有创机械通气时AECOPD患者出现低血压与血容量关系,临床查体观察患者有无脱水。结果 78例AECOPD患者均有心功能不全及无血容量不足,在安静(含用镇静药)下有创机械通气时出现低血压69例,发生率为88.46%;其中有效循环血量下降10例,发生率为14.49%,年龄均>75岁。结论有创机械通气AECOPD患者在安静下低血压,排除血容量不足,无组织低灌注存在,不需特殊处理。

Objective To indicate the relationship between low blood pressure and blood volume about the acute exacerbation of chronic obstructive pulmonary disease（AECOPD） patients which undergo invasive mechanical ventilation calmly.Methods 78 AECOPD patients undergoing invasive mechanical ventilation calmly were retrospectively analyzed,include the relationship between low blood pressure and blood volume.And the dehydration or not was also be evaluated through clinical examination.Results All the patients didn＇t have low blood volume,but low blood pressure could be examined easily（88.46%）.Conclusion Low blood pressure can happen in AECOPD patients undergoing invasive mechanical ventilation calmly,but they didn＇t have low blood volume,and they don＇t need to be cured.