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目的:探讨重症肺病临床诊疗。方法:本次研究共选择100例重症肺病患者作研究对象,均为我院呼吸内科2012年6月至2013年6月收治,有明确诊断的基础上,随机分组就有创机械通气治疗与有创无创序贯通气治疗进行比较,回顾临床资料。结果:观察组有创通气、总机械通气、住院时间均少于对照组,VAP率低于对照组,差异均有统计学意义(P<0.05)。结论:重症肺病采用有创序贯通气治疗,可引流痰液,短期内改善通气,进而使气管插管拔除,改用BiPAP,不但使有创通气时间缩短,还可使总的实施机械通气的时间缩短,减少住院日,对呼吸机依赖有预防作用,可有效改善预后。
Objective: To investigate the clinical diagnosis and treatment of severe pulmonary disease. Methods: In this study, a total of 100 patients with severe pulmonary disease were selected for study, all of our hospital respiratory medicine from June 2012 to June 2013 admitted, there is a clear diagnosis based on the randomized group with mechanical ventilation and there are Invasive non-invasive sequential ventilation comparison, review of clinical data. Results: The invasive ventilation, total mechanical ventilation and hospital stay in the observation group were all less than those in the control group. The VAP rate was lower in the observation group than in the control group (P <0.05). Conclusions: Severe pulmonary disease with sequential invasive ventilation, drainage of sputum, short-term improvement of ventilation, and thus removal of endotracheal intubation, the use of BiPAP, not only to reduce invasive ventilation time, but also the general implementation of mechanical ventilation Shorten the time, reduce the length of stay, the ventilator dependence has a preventive effect, can effectively improve the prognosis.