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编号:10816552
机械通气治疗连枷胸的临床分析
http://www.100md.com 《中华现代外科学杂志》 2005年第18期
间歇正压通气,,连枷胸;双水平正压通气;间歇正压通气,1资料与方法,2结果,3讨论,【参考文献】
     【摘要】 目的 探讨双水平正压通气(biphasic positive airway pressure,BiPAP)在连枷胸中的治疗作用。方法 将我院1999年1月~2005年3月符合连枷胸条件的43例患者,其中14例采用无创正压通气BiPAP模式作为BiPAP组,另外29例患者采用的机械通气模式为常规的间歇正压通气(intermittent positive pressure ventilation,IPPV) ,作为IPPV组,比较两组的ICU住院时间、并发症、死亡率,以及24、48、72h的动脉血气中的PO2、PCO2与氧合指数。结果 BiPAP组中在ICU中治疗时间比IPPV组明显缩短,并发症、死亡率少于IPPV组。监测24、48、72h的血气分析, PO2、PCO2、PaO2/FiO2差异无显著性。结论 在连枷胸患者的治疗中,BiPAP的机械通气模式优于IPPV。

    【关键词】 连枷胸;双水平正压通气;间歇正压通气

    Clinical analysis of mechanical ventilation on flail chest

    LU Heng-ping.

    Department of Chest Surgery,The First Peoples Hospital of Chenzhou,Chenzhou 423000,China

    【Abstract】 Objective To explore the therapeutical effect of biphasic positive airway pressure (BiPAP) on flail chest.Methods 43 patients with severe flail chest were managed from January 1999 to March 2005. The clinical data were retrospectively analyzed.14 patients treated with BiPAP were called the BiPAP group, 29 patients treated with IPPV were called the IPPV group,compared with major complications, arterial blood gas levels at 24,48,72 hours a ftier mechanical ventilation , length of intensive care unit (ICU) stay and mortality in the two group.Results The incidence of complications, length of ICU stay and mortality were few in the BiPAP group. There were no significant differences in arterial blood gas levels between groups.Conclusion The clinical effect with BiPAP wasbetter than the clinical effect with IPPV on flail chest. ......

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