慢性阻塞性肺病呼吸衰竭机械通气探讨

Study of mechanical ventilation used in the treatment of chronic obstructive pulmonary disease with respiratory failure

目的 探讨对慢性阻塞性肺疾病呼吸衰竭机械通气的策略。方法 回顾性总结 43例需机械通气的COPD患者的治疗情况。结果 3 6例患者脱机成功 ( 83 .7% ) ,5例死亡 ( 1 1 .6% ) ,2例放弃治疗出院 ,相关并发症 1 2例。结论 及早行机械通气是治疗呼吸衰竭最有效和迅速的方法。小潮气量通气 ,加强营养支持 ,控制感染 。

Objective To investigate the tactics of mechanical ventilation used in the treatment of chronic obstructive pulmonary disease (COPD) with respiratory failure.Methods Retrospective summary about the treatment courses of mechanical ventilation in the chronic obstructive pulmonary disease with respiratory failure.Results Of all the 43 cases,36 were weaned successful, 5 were died and 2 were gived up treatment . 12 had complications.Conclusions Early mechanical ventilation is the most effective and rapid method for respiratory failure. Small tidal volume, aggressive nutritional support, controlling infection, and aggressive management of air way are keys of advancing success.