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本文总结近年来我科采用气管插管或气管切开机械通气抢救治疗垂危呼吸衰竭20例成功的临床经验和体会,以探讨提高重症呼衰抢救成功率的途径及措施。 临床资料 一、一般资料:20例中男13例,女7例,年龄14～70岁。 二、原发病:慢性肺心病并Ⅱ型呼衰10例(其中肺心病并气胸2例),成人呼吸窘迫综合征(ARDS)5例,急性中毒致呼吸停止2例。癫痫持续状态致呼吸停止1例,脊髓麻痹并急性肺心病1例,青霉素过敏致2次心跳呼吸停止1例。
This article summarizes the successful clinical experience and experience of 20 cases of dying of respiratory failure by tracheal intubation or tracheostomy ventilation in our department in recent years to explore ways to improve the success rate of severe respiratory failure rescue measures and measures. Clinical data First, the general information: 20 males in 13 cases, 7 females, aged 14 to 70 years. Second, the original disease: chronic pulmonary heart disease and type Ⅱ respiratory failure in 10 cases (including pulmonary heart disease and pneumothorax in 2 cases), adult respiratory distress syndrome (ARDS) in 5 cases, acute poisoning caused by respiratory arrest in 2 cases. 1 case of epilepsy induced respiratory arrest, spinal paralysis and acute pulmonary heart disease in 1 case, penicillin allergy caused by two heart breathing stop in 1 case.