文档介绍：胸外重症监护患者合并急性呼吸衰竭的回顾性分析
西双版纳州人民医院外4科云南666100
魏超华许洪锋杨阳
【摘要】目的探讨胸外重症监护患者发生急性呼吸衰竭的病因及死亡危险因素,总结分析临床治疗的有效方法。方法对2006-2008年医院外科110例胸外重症监护围术期合并急性呼吸衰竭患者,分为死亡组(40例) 和生存组(70 例) ,从抗感染治疗、机械辅助通气、液体管理、营养支持方面进行回顾性比较。结果死亡组中无创通气构成比及时间均显著低于生存组( P 值均< 0. 05) ,生存组每日进量和每日液体净量均显著少于死亡组( P值均< ) ,生存组早期采用肠内营养的构成比显著高于死亡组(P< )。结论外科危重患者急性呼吸衰竭可由全身多种疾病引起,当合并其他疾病时死亡风险进一步增高。应采取积极治疗原发病、控制感染、科学的机械通气辅助策略、严格液体管理等综合方案治疗危重患者急性呼吸衰竭。
【关键词】急性呼吸衰竭;病因;死亡危险因素;治疗
[Abstract] Objective To investigate the reasons of chest surgical ICU ward with acute respiratory failure and death risk factors, summary and analyze the effective way of clinical treatment. Method: Divided 110 cases of patients of chest surgical ICU ward with acute respiratory failure from 2006-2008 into death group (40 cases) and survival group(70 cases), compared retrospectively from the anti-infective treatment, mechanical ventilation, fluid management, nutrition support. Result: The constituent ratio and time of noninvasive ventilation were significantly lower than the survival group (P <) ,the daily survival and into daily volume of liquid of survival group than posi- tion of enteral nutrition was significantly higher than the dead group (P <)the early adopters of survival group than position of enteral nutrition was significantly higher than the dead group (P <). Conclusion:Critically ill surgical patients with acute respiratory fai