高频喷射通气和肝素雾化吸入联合应用治疗肺心病并呼吸衰竭的护理

Nursing of Pulmonary Heart Disease Accompanied with Respiratory Failure treating with High Frequency Jet Ventilation and Heparin Aerosol Inhalation

目的 总结高频喷射通气 (HFJV)和肝素雾化吸入联合应用治疗肺心病并呼吸衰竭的护理体会。方法 将 83例肺心病并呼吸衰竭病人分为HFJV治疗组、肝素雾化吸入组和联合治疗组 ,并进行比较。结果 单独HFJV治疗后PaO2 升高 ,PaCO2 无下降 ;单独肝素雾化吸入治疗后PaO2 升高 ,PaCO2 降低 ;两者联合治疗后PaO2 明显升高 (P <0 .0 1) ,PaCO2 则有明显降低 (P <0 .0 1)。结论 HFJV和肝素雾化吸入联合应用可使肺心病合并呼吸衰竭得以显著纠正 。

Objective To sum up the nursing of pulmonary heart disease accompanied with respiratory failure treating with high frequency jet ventilation and heparin aerosol inhalation. Methods 83 patients with pulmonary heart disease were divided into three groups. One group was treated by high frequency jet ventilation. The second by heparin aerosol inhalation and the third by combining high frequency jet ventilation with heparin aerosol inhalation. The three groups were contrasted after treatment. Results After treatment, PaO 2 was slightly high and PaCO 2was not low in the first group. PaO 2was slightly high and PaCO 2 was a little low in the second group. In the third group, PaO 2 was higher and PaCO 2 was lower (P<0.01). Conclusions The method of combining high frequency jet ventilation with heparin aerosol inhalation can remarkably correct respiratory failure of pulmonary heart disease. Meanwhile the nursing is important too in the treatment.