有创与无创序贯机械通气抢救重症呼吸衰竭的临床应用

The Invasive and Noninvasive Clinical Applications of Sequential Mechanical Ventilation in the Treatment of Severe Respiratory Failure

目的：研究有创与无创序贯机械通气在抢救重症呼吸衰竭中的临床应用。方法：选择我院从2008年1月～2011年10月间因各种原因所致严重呼吸衰竭收入呼吸内科病房的患者25例作为序贯通气组，开始本研究前即2006年1月～2007年12月间因各种原因所致严重呼吸衰竭收入呼吸内科病房的患者23例作为对照组，以上所有患者均因严重呼吸衰竭、呼吸困难、气道分泌物多、意识障碍等符合插管上机标准。结果：序贯通气组VAP发生率、死亡例数、住院总费用明显低于对照组、有创通气时间缩短。结论：序贯性机械通气作为一种抢救重症呼吸衰竭的机械通气策略已被越来越多的应用于临床，有推广应用的价值。

Objective ： To study the invasive and noninvasive clinical applications of sequential mechanical ventilation in the treatment of severe respiratory failure. Methods：in our hospital from 2008 January to 2011 October due to severe respiratory failure Respiratory Department of internal medicine ward income caused by various reasons in 25 cases as the sequential therapy group, began the study from 2006 January to 2007 before December ,23 patients with severe respiratory failure Respiratory Department of internal medicine ward income caused by various reasons as control group, all of the above patients with severe respiratory failure, difficulty in breathing, airway secretions, disturbance of consciousness, in accordance with the standards of intubation. Results： the incidence of VAP in the sequential therapy group, the cases of death, total cost of hospitalization was significantly lower than that of the control group, the invasive mechanical ventilation time. Conclusion： sequential mechanical ventilation as a treatment of severe respiratory failure mechanical ventilation strategies have been used more and more in clinical, and has a wide application value.