高频喷射通气治疗24例肺性脑病的疗效分析

• 作 者: 李兴文 赵淮 徐鸥
• 机 构: 昆明医学院第一附属医院内科,昆明医学院第一附属医院内科,昆明医学院第一附属医院内科,
• 出 处: 云南医药
• 发表日期: 1993年01期
• 关键词: 高频喷射通气 肺性脑病 平均气道压 机械通气方法 血气变化 低氧血症 潮气量 呼吸兴奋剂 吸气时间 呼吸周期

本文对24例肺性脑病应用高频喷射通气(HFJV)治疗进行分析,结果表明:HFJV治疗后P_αO_2上升显著(P<0.01);P_αCO_2仅轻度升高(P>0.05)。维持HFJV期间P_αO_2稳定于安全水P_αO_2>6.65KP_α以上;P_αCO_2降低显著P<0.01)。脱离HFJV治疗前后P_αO_2、P_αCO_2无显著改变。认为使用HFJV越早,效果越好。HFJV对肺脑的治疗能迅速纠正缺氧,并使P_αO_2维持在安全水平,而无P_αCO_2显著增高加重肺脑病情之忌,操作简便,效果好,易推广应用。

In this paper, 24 cases of pulmonary encephalopathy treated by high frequency jet ventilation (HFJV) were analyzed. The results showed that P_αO_2 increased significantly (P <0.01) and P_αCO_2 increased only slightly (P> 0.05). During the maintenance of HFJV, the stability of P_αO_2 to safe water P_αO_2> 6.65KP_α; P_αCO_2 decreased significantly P <0.01). P_αO_2 and P_αCO_2 did not change significantly before and after HFJV treatment. The sooner HFJV is used, the better. HFJV treatment of lung and brain can quickly correct hypoxia, and to maintain P_αO_2 at a safe level, without P_αCO_2 significantly increased aggravating lung disease avoidance, easy to operate, effective, easy to promote the use.