摘要
目的 :分析长期机械通气患者循环系统并发症发生情况及相关因素。方法 :回顾性分析 1997年 8月至 2 0 0 1年5月 6 6例长期机械通气患者循环系统并发症发生情况 ,根据应用时间、患者年龄、是否应用呼气末正压 (PEEP)等相关因素进行分析。结果 :长期机械通气患者循环系统并发症发生率较高 (6 2 % ) ,主要有低血压、心律失常、心肌缺血及梗塞等 ,并与通气时间、患者年龄 (5 5岁以上 )以及是否应用PEEP关系密切。结论 :对于长期机械通气患者 ,循环系统并发症应该在临床得到足够重视 。
Objective: To analyze the incidence of circulatory systemic complication and associated factors in long term mechanical ventilation patients. Methods: The occurrences of circulatory systemic complications were analyzed retrospectively in 66 patients undergone long term mechanical ventilation treatment from 1997 to 2001 in Navy General Hospital. Ventilated time, patients′ age and positive end expiratory pressure (PEEP) were analyzed as grouping factors. All data were analyzed by χ 2 test. Results: Various circulatory systemic complications, such as hypotension, cardiac arrhythmia and myocardial ischemia or infraction, were widely found in long term mechanical ventilation patients(62%). Ventilated time, patients′ age (above 55 years) and positive end expiratory pressure (PEEP) were closely associated with the occurrences of circulatory systemic complications in these patients. Conclusion: Circulatory systemic complications must be recognized and be properly treated clinically in these patients.
出处
《海军医学杂志》
2002年第4期316-318,共3页
Journal of Navy Medicine
关键词
机械通气
并发症
循环系统
呼吸衰竭
mechanical ventilation
complication
circulatory system
