呼吸机治疗急性呼吸窘迫综合征的临床观察

Clinical Effect of Ventilator in the Treatment of Acute Respiratory Distress Syndrome

目的:探讨呼吸机治疗急性呼吸窘迫综合征的临床效果。方法:选择2011年3月-2015年1月笔者所在医院诊治的74例急性呼吸窘迫综合征患者作为研究对象,所有患者均应用呼吸机治疗,观察患者治疗前后心率、血氧饱和度、二氧化碳分压、呼吸频率及平均动脉压等指标改善情况及抢救成功率。结果:本组患者应用呼吸机治疗后取得了显著的效果,除8例患者由于损伤程度较重而抢救无效死亡外,余66例患者均成功抢救,且成功脱机,脱机后未出现缺氧、呼吸困难等现象,抢救成功率为89.19%,死亡率为10.81%。治疗后本组患者心率、血氧饱和度、二氧化碳分压、呼吸频率及平均动脉压均得到了显著改善(P<0.05)。结论:呼吸机治疗急性呼吸窘迫综合征具有良好的临床效果。

Objective： To explore the clinical effect of ventilator in the treatment of acute respiratory distress syndrome.Method： From Mar 2011 to Jan 2015 in our hospital 74 cases of acute respiratory distress syndrome were randomly selected as the study objects and were all treated with ventilator.Heart rate, oxygen saturation, carbon dioxide partial pressure, respiratory rate, average arterial pressure and rescue success rate of patients were observed.Result： After ventilator treatment, this group patients achieved remarkable results except for 8 patients died due to severe injured.Other 66 patients were rescued successfully and without symptoms like hypoxia and difficulty breathing.The rescue success rate was 89.19% and the mortality rate was 10.81%.Besides, this group patients＇ heart rate, oxygen saturation, carbon dioxide partial pressure, respiratory rate and average arterial pressure were all improved（P〈0.05）.Conclusion： The clinical effect of ventilator in the treatment of acute respiratory distress syndrome is significant.