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间歇指令通气(intermittent mandatory ventilation,IMV)是指通气机以预设的频率向患者气道内输送定量的正压通气,在两次通气周期间允许患者自主呼吸。我们在总结了以往的机械通气治疗中的经验教训的基础上,回顾并总结了我院胸内科1984～1997年收治的呼吸功能衰竭患者,在使用自行研制的简易间歇指令通气装置后的临床疗效,并探讨其临床应用价值。 1 资料和方法 1.1 一般资料 为我院胸内科1984～1997年呼吸重症监护病房(RICU)收治的危重呼吸衰竭患者共100例。其中男77例、女23例,年龄(57.38±13.36)岁。病种:肺心病合并呼衰、心衰患者82例,支气管哮喘持续状态导致呼衰10例、特发性肺纤维化3例、支气管扩张重症感染致呼衰3例、急
Intermittent mandatory ventilation (IMV) refers to the ventilator delivering a set amount of positive pressure ventilation to a patient’s airway at a preset frequency that allows the patient to breathe spontaneously during two ventilation cycles. On the basis of summarizing the experiences and lessons of previous mechanical ventilation therapy, we reviewed and summarized the clinical efficacy of the simple intermittent instruction ventilation device developed in our department from 1984 to 1997 in patients with respiratory failure. , And explore its clinical value. 1 Materials and Methods 1.1 General Information for our hospital thoracic 1984-1997 respiratory intensive care unit (RICU) admitted to a total of 100 cases of critically ill patients with respiratory failure. There were 77 males and 23 females with a mean age of 57.38 ± 13.36 years. Disease: pulmonary heart disease with respiratory failure, heart failure in 82 patients, bronchial asthma persistence caused by respiratory failure in 10 cases, 3 cases of idiopathic pulmonary fibrosis, bronchiectasis severe respiratory infection caused by respiratory failure in 3 cases, urgent