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helikopter
Dołączył: 03 Mar 2011
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Skąd: England
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 Wysłany: Nie 4:26, 06 Mar 2011 Temat postu: tory burch flats oxp drq nmw cwx |
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,[link widoczny dla zalogowanych]
United Ganlixin BIPAP ventilator, naloxone COPD with Type Ⅱ efficacy of respiratory failure
The basis of the main difficulties were not fully control the disease, poor nutritional status and mental disorders caused. Mechanical ventilation (mechanicalventilation, MV) is a medical practitioner for medical treatment of respiratory failure is one important tool, has been widely used in patients with severely impaired respiratory function. However, some patients in the MV final phase of the ventilator withdrawal stage, there weaning difficulties, so that patients can not be scheduled even long-term weaning weaning, resulting in the generation of MV complications and financial burden of patients, therefore, respiratory failure After correction to choose the timing of weaning and weaning what is the key to successful treatment. In this paper, 20o7 on 1 January to September 2008, the RIcu admitted to our hospital 42 patients with mechanical ventilation weaning difficult patients, 15 cases were retrospectively analyzed, are reported as follows: A clinical data, in our hospital RICu2007 January to September 2o08 admitted in respiratory failure and mechanical ventilation difficult evacuation unit in 15 cases,[link widoczny dla zalogowanych], male 1O cases and 5 females, aged 26 to 77 years, average annual age of 54.6 years. Among them,[link widoczny dla zalogowanych], chronic obstructive pulmonary disease Author: 5264oo Guangdong, Huaiji County People's Hospital of Respiratory Medicine, pulmonary encephalopathy, Ⅱ patients with respiratory failure in 10 cases, 3 cases of pesticide poisoning, cerebrovascular accident, abdominal trauma partial hepatectomy After the l cases. Computer time was 48h ~ 42 days. Two methods: (1) offline indicators ...: ① The reasons causing the machine to remove, no acid-base imbalance and electrolyte disturbance; ② basic infection control, body temperature below 37 ℃; ③ blood Hh than 10og / L; ④ Fi02 less than 0.40, blood Pa02 greater than 9.3kPa, sp0 more than 95%,[link widoczny dla zalogowanych], spontaneous breathing frequency of less than 30 times / min. (2) successful weaning criteria: stop 24-48h, patients with no subjective discomfort, no respiratory distress, circulatory stability, blood gas analysis of inspection and hypoxemia without acidosis, increase the incidence. (3) withdrawal of ventilator Methods: ① continuous positive airway pressure (cPAP); ② synchronized intermittent mandatory ventilation (sIMV); ③ pressure support ventilation (PsV); ④ sIMV + PSV; ⑤ direct withdrawal machine (used for recovery from anesthesia) . Third, determine off-line failure: respiratory distress,[link widoczny dla zalogowanych], respiratory rate> 30 to 35 times / min, heart rate> 120 beats / min, hypertension, mental status changes such as restlessness, sweating, pulse oxygen saturation ( sP0:) O. O5,. p <0.05 and oxygenation. The basic BIPAP ventilator as pressure support ventilation + PEEP, that is, when the patient breathing, the use of IPAP (inspiratory positive airway pressure): to help patients overcome resistance, increase ventilation to reduce work of breathing; EPAP (expiratory airway pressure): to offset the patient's intrinsic PEEP, preventing airway collapse; functional residual capacity, improve oxygenation; reduce pulmonary edema and reduce c0 rebreathing. So as to improve PaO, decreased PacO purposes. At the same time, BIPAP ventilation with positive end expiratory pressure (PEEP) and pressure support (PsV) role, can reduce the inspiratory muscle load, reducing respiratory muscle fatigue, respiratory muscle function is conducive to recovery, but also can play a mechanical bronchiectasis role. This showed 20 cases of patients with respiratory failure c0PD, by the use of BIPAP ventilator United Ganlixin, naloxone treatment, pH values, Pa02, Pac0 were significantly improved. That the United Ganlixin BIPAP ventilator, naloxone COPD with Type Ⅱ respiratory failure a significant effect. Therefore, this method can be applied to clinical.
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