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本文报道39例老年病人应用肝素与酚妥拉明等治疗慢性阻塞性肺疾病呼吸衰竭的治疗效果。其中6例属于呼吸衰竭Ⅰ型,33例属呼吸衰竭Ⅱ型。呼吸衰竭的诊断根据是:(1)Ⅰ型:P_2O_2<60mmHg,PaCO_2正常(25～35mmHg)或减低;(2)Ⅱ型:PaO_2<60mmHg,PaCO_2>50mmHg。结果:34例痊愈,5例死于弥漫性血管内凝血。感染性休克等。
This article reports the treatment of 39 elderly patients with heparin and phentolamine treatment of chronic obstructive pulmonary disease respiratory failure. Six of them were respiratory failure type I and 33 were respiratory failure type II. The diagnosis of respiratory failure is based on the following: (1) Type I: P 2 O 2 <60 mm Hg, PaCO 2 normal (25-35 mm Hg) or decrease; (2) Type II PaO 2 <60 mm Hg PaCO 2> 50 mm Hg. Results: 34 cases recovered and 5 died of disseminated intravascular coagulation. Infectious shock and so on.