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16例由老年绿脓杆菌肺炎引起的呼吸衰竭,其中Ⅰ型呼衰6例,Ⅱ型呼衰10例。男13例、女3例,66～69岁9例,70～79岁6例,82岁1例。文章对此类呼衰的临床特点进行了分析,并提出了救治的原则。一、绿脓杆菌肺炎引起的呼吸衰竭的特点:1.呼衰发生率高,达76%,同期住院其他老年肺炎病人呼衰的发生率为33.3%。2.呼衰程度重,16例中,中度呼衰10例;重度4例;休克3例,紫绀12例;16例均有酸碱失衡,电解质紊乱以低钾(3例),低钠(5例)、低氯(7例)为多见。3.呼衰发生早、持续时间长,本组均系急性呼衰,纠正时
16 cases of respiratory failure caused by the elderly Pseudomonas aeruginosa pneumonia, including type Ⅰ respiratory failure in 6 cases, type Ⅱ respiratory failure in 10 cases. There were 13 males and 3 females, 9 cases 66-69 years old, 6 cases 70-79 years old and 1 case 82 years old. The article analyzes the clinical features of such respiratory failure and puts forward the principle of treatment. First, the characteristics of respiratory failure caused by Pseudomonas aeruginosa pneumonia: 1. The high incidence of respiratory failure, up to 76%, the same period hospitalized patients with other elderly pneumonia, the incidence of respiratory failure was 33.3%. There were 10 cases of moderate and moderate respiratory failure in 16 cases, severe cases of 4 cases, shock in 3 cases and cyanosis in 12 cases. There were acid-base imbalance in all 16 cases and electrolyte imbalance in low-potassium (3 cases) and low-sodium (5 cases), low chlorine (7 cases) is more common. 3 respiratory failure occurred early, long duration, this group are acute respiratory failure, correct