呼吸衰竭患者的诊治探讨40例

Diagnosis and treatment of patients with respiratory failure 40 cases

目的:分析探讨呼吸衰竭的临床特点,总结诊断和治疗要点。方法:收治呼吸衰竭患者40例,对其诊治过程回顾性分析。结果:所有患者均行动脉气血分析,检查结果中PaO2<60mmHg,不伴有PaCO2升高患者15例,为Ⅰ型呼吸衰竭;25例患者动脉气血分析PaO2<60mmHg,且PaCO2>50mmHg,为Ⅱ型呼吸衰竭。18例患者呼吸衰竭发生发展迅速,致病因素影响通气换气功能严重,为急性呼吸衰竭;另22例病情缓慢进展,为慢性呼吸衰竭。结论:呼吸衰竭的诊断依赖于疾病的临床表现、动脉气血分析、呼吸功能检查,以及胸部影像学检查等。呼吸衰竭的治疗应依呼衰的类型和病因个性化治疗。

Objective:To analyse the clinical characteristics of respiratory failure,and to sum up the main points of diagnosis and therapy.Methods:The diagnosis and treatment of 40 cases of patients with respiratory failure were retrospectively analyzed.Results: All patients underwent arterial blood analysis.Test results with PaO2 <60mmHg,without PaCO2 elevation in 15 patients,suggested it was type I respiratory failure.25 cases of patients with arterial blood analysis of PaO2 <60mmHg and PaCO2 >50mmHg, suggested it was type Ⅱ respiratory failure.18 cases of patients was acute respiratory failure with respiratory failure developed rapidly,pathogenic factors affecting the ventilation function in severe.The other 22 patients were chronic respiratory failure with slowly progressive.Conclusion:Diagnosis of respiratory failure relyed on clinical manifestations,arterial blood analysis,respiratory function tests and chest imaging.Treatment of respiratory failure should use individualized treatment depending on the type and cause of respiratory failure.