| 无创通气在慢性阻塞性肺疾病患者撤机中的应用 |
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| 引用本文： | 杨敏,王春宝,宋卫东,熊剑飞. 无创通气在慢性阻塞性肺疾病患者撤机中的应用[J]. 内科急危重症杂志, 2009, 15(2): 85-86,89 |
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| 作者姓名： | 杨敏 王春宝 宋卫东 熊剑飞 |
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| 作者单位： | 上海市第二人民医院,上海,200233 |
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| 摘 要： | 目的：探讨无创通气应用于慢性阻塞性肺疾病（COPD）患者有创机械通气撤机中的作用。方法：62例cOPD合并呼吸衰竭应用有创通气后撤机拔管的患者，分为治疗组32例，对照组30例，治疗组在常规药物治疗基础上应用无创通气，对照组应用常规治疗（药物治疗＋吸氧）。观察两组的血气分析指标、再插管率、住院天数及住院病死率等。结果：治疗组给予无创通气后与对照组比较动脉血气PaO2明显上升（P〈0．05），PaCO2下降明显（P〈0．05），两组再插管率为9%和30％（P〈0．05），住院天数为（32±10）d和（38±15）d（P〈0．05），住院病死率为6．2％和23．3％（P〈0．05）。结论：撤机拔管后立即开始应用无创通气的患者再插管率下降，住院天数减少及病死率下降。
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| 关 键 词： | 无创通气 慢性阻塞性肺疾病 撤机 |
Application of Non-invasive Ventilation in Weaning Patients With Chronic Obstructive Pulmonary Disease |
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| YANG Min,WANG Chunbao,SONG Weidong,et al.. Application of Non-invasive Ventilation in Weaning Patients With Chronic Obstructive Pulmonary Disease[J]. Journal of Internal Intensive Medicine, 2009, 15(2): 85-86,89 |
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| Authors: | YANG Min WANG Chunbao SONG Weidong et al. |
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| Affiliation: | YANG Min,WANG Chunbao,SONG Weidong,et al.The Second People's Hospital of Shanghai,Shanghai 200233,China |
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| Abstract: | Objective:To study the effect of non-invasive ventilation on weaning patients with chronic obstructive pulmonary disease(COPD) after receiving invasive mechanical ventilation.Methods:Sixty-two COPD patients with respiratory failure who received invasive ventilation after weaning and extubation were divided into therapy group(n=32) and control group(n=30).Patients in therapy group received non-invasive ventilation on the base of conventional drug therapy,and patients in control group received routine treatme... |
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| Keywords: | Non-invasive ventilation Chronic obstructive pulmonary disease Weaning |
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