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中国防痨杂志 ›› 2003, Vol. 25 ›› Issue (4): 241-243.

• 论著 • 上一篇    下一篇

低潮气量维持通气治疗老年肺结核合并呼吸衰竭的临床分析

杜钟珍;刘蓉;薛卉;何新立;柳仓生;张捷;   

  1. 天津市肺科医院 天津 300051;
  • 出版日期:2003-04-10 发布日期:2003-11-03

Clinical study of low tidaltion in elder patients with respiratory failure complicated by pulmonary tuberculosis

DU Zhong-zhen,LIU Rong,XUE Hui,et al.   

  1. Tianjin Pulmonary Diseases Hospital, Tianjin 300051
  • Online:2003-04-10 Published:2003-11-03

摘要: 目的 探索使用低潮气量维持通气对老年肺结核合并呼吸衰竭患者的血气分析影响。方法 在有效的抗结核、抗炎治疗的基础上,在各种通气参数保持不变的情况下,以使用呼吸机前,调节患者的潮气量分别为10mL/kg、8mL/kg、6mL/kg后1h及维持6mL/kg12h之血气分析进行比较。结果 以潮气量为6mL/kg维持通气治疗,PaCO2及PaO2/FiO2较在使用呼吸机前有明显改善(P<0.05)。结论 对于老年肺结核合并呼吸衰竭患者,使用低潮气量进行机械通气即可有效纠正呼吸衰竭。

关键词: 结核,肺, 机械通气, 潮气量, 呼吸衰竭

Abstract: Objective To discuss the effect of BGA by using low tidal volume maintained mechanical ventilation in elder patients with respiratory failure complicated by pulmonary tuberculosis.Methods Compared with the BGA Results in different tidal volume as 10 mL/kg,8 mL/kg,6 mL/kg for one hour and 6 mL/kg for 12 hours with the invariable mode and other parameters.Results PaCO2 and PaO2/FiO2 was improved obviously when tidal volume was 6 mL/kg than before the mechanical ventilation ( P<0.05).Conclusion Using low tidal volume mechanical ventilation can correct the respiratory failure effectively in the elder patients complicated by pulmonary tuberculosis.

Key words: Pulmonary tuberculosis, Mechanical ventilation, Tidal volume, Respiratory failure