摘要
目的急诊危重监护室呼吸机对急性脑出血合并呼吸衰竭患儿的临床价值分析。方法选取我院收治的96例急性脑出血合并呼吸衰竭患儿,根据患者最后是否死亡,分成成功组和病死组。成功组36例,病死组60例。均经口气管插管连接呼吸机辅助呼吸。通气模式:CAV+PEEP、同步间断压迫性通气(SIMV)+呼气末正压(PEEP)。PEEP值:510cmH2O(1cmH2O=0.098kPa)。其余按急性脑出血常规治疗:对症治疗、营养液细胞、降低颅内压、脱水治疗。并观察两组平均动脉压、APACHEⅡ评分值,动脉血气变化。结果成功组和病死组通气前后的平均动脉压、APACHEⅡ评分值、动脉血气相互比较差异有统计学意义(P<0.05)。成功组与病死组患者通气前、通气后指标分别相互比较差异有统计学意义(P<0.05)。结论急诊危重监护室呼吸机对急性脑出血合并呼吸衰竭患儿具有一定的作用,且患者通气前平均动脉压、APACHEⅡ评分、动脉血气明显影响患者的成功率。但对于急性脑出血合并呼吸衰竭抢救时,应综合考虑,选择最佳的治疗方案。
Objective: Hemorrhage clinical value in children with respiratory failure analysis of the emergency room in critical care ventilators for acute cerebral.Methods 96 patients admitted to our hospital with acute respiratory failure in children with cerebral hemorrhage, according to whether the patient finally died, into a successful group and death group. Successful group of 36 patients, 60 patients died. Intubation were connected to ventilator-assisted breathing. Ventilation modes: CAV + PEEP, synchronized intermittent compression ventilation(SIMV) + end-expiratory pressure(PEEP). PEEP value: 5 ~ 10 cmH2O(1 cmH2O = 0.098kPa). The remainder by conventional treatment of acute cerebral hemorrhage: symptomatic therapy, nutrition cells, increased intracranial pressure, dehydration treatment. And mean arterial pressure were observed, APACHE Ⅱ scores, arterial blood gas changes. Results The success of the group and the group died after a mean arterial pressure ventilation, APACHE Ⅱ scores, arterial blood gas compared with each other statistically significant(P <0.05). Successful group died before the group of patients with ventilation, ventilation after the index mutual differences were statistically significant(P <0.05). Conclusion Emergency Critical Care Unit ventilators for acute respiratory failure in children with cerebral hemorrhage has a certain role, and mean arterial pressure in patients with pre- ventilation, APACHE Ⅱ score, arterial blood gas significantly affect the success rate of patients. But for acute respiratory failure, cerebral hemorrhage rescue merger, should be considered to choose the best treatment options.
出处
《中国实用内科杂志》
CAS
CSCD
北大核心
2014年第S1期82-85,共4页
Chinese Journal of Practical Internal Medicine
关键词
呼吸衰竭
急性脑出血
呼吸机
危重监护室
respiratory failure,acute cerebral hemorrhage,ventilator,critical care unit
