veoexrmpzt
Dołączył: 21 Lut 2011
Posty: 371
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Skąd: England
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 Wysłany: Sob 20:16, 19 Mar 2011 Temat postu: mbt zapatos muk yuc jrta tta |
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Sequential treatment of mechanical ventilation in intermediate syndrome of organophosphorus pesticide poisoning
) (H) the conventional therapy group 43.84 ± 18.55110 ± 21125.43 ± 28.5137.8 ± 0.715rain ~ 3h41.14 ± 23.01 sequential treatment group, 42.05 ± 14.16109 ± 22127. 15 ± 17.4937.6 ± 0.930min ~ 4h32.90 ± 24.33P value 0.390.950.580.110.640.66 Xuzhou Medical College ACTAACADEMIAEMEDICINAEXUZHOU2007, 27 (2) Table 2 in patients treated with sequential 2h before and after extubation extubation vital signs and arterial blood gas analysis and the change (n = 11, ± s) 3 to discuss invasive and non-invasive ventilation technology is the sequential IMS AOPP induced ventilation in the treatment of a new strategy. Sequential invasive and non-invasive mechanical ventilation in the treatment effect is divided into two stages,[link widoczny dla zalogowanych], ventilatory insufficiency, and (or) infection in the presence of artificial airway invasive mechanical ventilation and infection stage of basic control, ventilation insufficiency eased, but still need mechanical ventilation secondary stage. Noninvasive mechanical ventilation can not completely replace spontaneous breathing, sputum drainage is not convenient, flatulence. Invasive mechanical ventilation can lead to VAP, so that the machine prolonged respiratory muscle weakness or contractions of disuse atrophy, malnutrition, leading to IMS AOPP induced ventilator dependent patients, weaning difficulties J. Sequential mechanical ventilation is the key to timely and accurate grasp of invasive ventilation to switch to the timing of non-invasive ventilation, domestic Wang Chen and other scholars have proposed sequential invasive and non-invasive method of mechanical ventilation, and clinical practice. The method of mechanical ventilation by sequential treatment of patients with AOPP caused by IMS,[link widoczny dla zalogowanych], 1 patient had abdominal distension, relief after weaning. While breathing in patients after extubation, blood pressure and heart rate, but with the non-invasive mechanical ventilation time, the indicators are gradually restored to the level before extubation, after extubation to 2h, vital signs and arterial blood gas analysis before extubation was no significant difference, indicating that non-invasive ventilation are well tolerated. The conventional treatment group, 3 cases 2 of weaning,[link widoczny dla zalogowanych], and 1 3 were failed weaning, weaning and another 1 patient due to breathing difficulties after 2h BiPAP use,[link widoczny dla zalogowanych], not re-intubation. Sequential treatment group re-intubation rate was 0, 40% of the control group after treatment, significant improvement in arterial blood gases, cholinesterase activity was significantly increased, suggesting that mechanical ventilation be a good therapeutic effect. AOPP induced in the patient's condition to improve the process of IMS timely removal of endotracheal intubation, use of nasal or oral mask BiPAP noninvasive mechanical ventilation, conventional mechanical ventilation help smooth offline,[link widoczny dla zalogowanych], can effectively reduce re-intubation rate, reduced patient pain, can significantly reduce the use of mechanical ventilation and total duration of mechanical ventilation, ICU stay significantly reduce the time and reduce medical costs. The correct understanding of invasive mechanical ventilation into the switching point of non-invasive ventilation is key to the success of sequential ventilation.
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