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允许性高碳酸血症通气策略在COPD并Ⅱ型呼衰中的应用 被引量:2

Permissive hypercapnia mechanical ventilation in the treat- ment of patients with chronic obstructive pulmonary disease with type Ⅱ respiratory failure
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摘要 目的 探讨在慢性阻塞性肺疾病(COPD)并Ⅱ型呼吸衰竭机械通气治疗中,实施允许性高碳酸血症方法的价值。方法 将46例患者分为常规通气组和实施允许性高碳酸血症治疗组,分析机械通气时的血压和撤机成功率变化。结果 与常规通气组比较,实施允许性高碳酸血症治疗组撤机成功率高,机械通气时间短,对血压影响小。结论 允许性高碳酸血症机械通气策略更适合于对COPD并Ⅱ型呼吸衰竭患者的治疗。 Objective To evaluate the availability of permissive hypercapnia (PHC) mechanical ventilation in chronic obstructive pulmonary disease (COPD) with type Ⅱ respiratory failure. Methods 46 patients had been divided into 2 groups at random: regular volume ventilation group and PHC group, recorded the index includes blood pressure and blood gas in mechanical ventilation. Results The PHC group has higher successful ratio in ventilator weaning, less time, and less impact on blood pressure compared to regular volume ventilation group. Conclusion permissive hypercapnia mechanical ventilation is a proper treatment for COPD with type Ⅱ respiratory failure.
出处 《国际医药卫生导报》 2008年第7期20-22,共3页 International Medicine and Health Guidance News
关键词 允许性高碳酸血症 机械通气 COPD Permissive hypercapnia (PHC) Mechanical ventilation Chronic obstructive pulmonary disease (COPD)
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