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首页 > 机械通气患者使用呼吸机与使用简易皮囊长途转送效果比较

机械通气患者使用呼吸机与使用简易皮囊长途转送效果比较

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机械通气患者使用呼吸机与使用简易皮囊长途转送效果比较机械通气患者使用呼吸机与使用简易皮囊长途转送效果比较 机械通气患者使用呼吸机与使用简易皮囊 长途转送效果比较 ,?w???j A?A????0????36?????,?????3?l???Y?? ?l???? A?A?A9????ABA?????A??????v???i?C???0???L???h?v?R???L???8???????C???,???D???x??A3????A??????g?4??2004?? 6?1wC2007??2?1110???v???i?C???0???C???????D???/??,??...
机械通气患者使用呼吸机与使用简易皮囊长途转送效果比较
机械通气患者使用呼吸机与使用简易皮囊长途转送效果比较 机械通气患者使用呼吸机与使用简易皮囊 长途转送效果比较 ,?w???j A?A????0????36?????,?????3?l???Y?? ?l???? A?A?A9????ABA?????A??????v???i?C???0???L???h?v?R???L???8???????C???,???D???x??A3????A??????g?4??2004?? 6?1wC2007??2?1110???v???i?C???0???C???????D???/??,???????L???h?v?????L???8???????D???x??A3????A??? ?h?v???????8?????????????,???9?????????N?(???????5?I(P<0101)A3????A????v???i?C???0???L???h?v???????C ???,,?????????0???????,???9????A3 A?A?A9???Z??ABA????h,????;??????;?i?C?v,?v?? A?A?A9?Y???4????ABR6051973A?A9???Z?7???,ABBA?A9?????m??AB1007-9572(2008)10-1863-02 ComparisonbetweenEffectsofVentilatorsandBagRespiratorsonCriticalPatientsinLong-distanceReferralsA?SONG Yin-li,ZHANGJun-gen.DepartmentofEmergencyMedicine,HangzhouMedicalEmergencyCenter,Hangzhou310006,China A?A?A9AbstractABA?ObjectiveA?Toinvestigatethedifferenteffectsofbagrespiratorsandventilatorsoncriticalpatientsinlong- distancereferrals.MethodsA?Retrospectiveanalysiswasperformedonclinicaldataof110patientsusingmechanicalventilation inlong-distancereferralsfromJune2004toFebruary2007.Clinicaleffectsofbothbagrespiratorsandventilatorswerecom2 pared.ResultsA?Theachievementratioofventilatorswashigherthanthatofbagrespiratorsinlong-distancereferrals(P< 0101).ConclusionA?Useofventilatorsinpatientsneedingmechanicalventilationcangreatlyincreasetheachievementratioin long-distancereferrals. A?A?A9KeywordABA?Spiration,artificial;Ambulances;Ventilators,mechanical A?A???????,???>?B???????l???T?????? ?t????,?v???i?C?????????L,?v???i?C ???0?????????9?9???iA3?J?????????l?? ?????????M,???????(???4???0???L?w?? ?????8???????????h????A3???4?B?Y???? ?C???,?Y???v???i?C???0???L???h?v?R?? ?L???8???????x?????????<A3 1A??/???R???? 111A??D???/??A????v?(???B?Y??2004?? 6?1wC2007??2?1?(?????C?d?1?????v?? ?i?C???????????l?????0110??,???Y?? ?L???h?v???,???v???h?v??,??48??, ???L???8???????,???v???8??????,?? 62??A3???h?v???Y?z27??,??21??, ???W????(4810??1619)??A3?l??????: ?s?V14??,?B?>???5?m12??,?Y??10 ??,????A,???h????8??,???h????4 ??;???8???????Y?z36??,??26??,?? ?W????(4416??1313)??A3?l??????: ?s?V18??,?B?>???5?m16??,????A,?? ?h????14??,???h????8??,?Y??6??A3 ?V?????0???g?NA,????A,?l?????????9?? ???(?W???gA3 112A????C???,????A??7?B?Y???L?,???? ?????A?v?l?????,???????0,???<>50 km?m?C?Y???,????>1hA3???Y???h?v?? ???,???????v60??200km,???W90km, ???,?????v112??410h,???W215hA3?? ?8?????????,???????v50??250km,?? ?W85km;???,?????v110??412h,???W 217hA3?V?????0???,??????A,???????? ?(?W???gA3 113A??v???i?C?7??A??(???<3???????? ???V???v?3?1?????v???i?C:(1)????A, ???h????;(2)???h????,?(???Z?4?? ?? [1] ??E??????P;(3)?5??,Glasgow?? ?4<8?4A3 114A??v???i?C????A????h?v?????L?j?? Ambu?????????v?5?C?????????h?v,?? ?h?E?5?v???????M?i?C?E?5,?j?????0?? ???????5???????????C??A3???h?v????: ???M???h,???C???v10ml/kg,???h???? ?E,?g?????v6%?m%A3?? ?8?????????L?????g?D???0????,?????( ?x?i?CA3?(???W??,?(???????<?A?????( ?R?K???5,????12??16?E/min,???C?? 500??1000mlA3?>?(???0???????(?i??, ?C?Y?T?????????????H?,????A,???,???0 ?t???????v?T,???????????>?g??????A, ???hA,????A,?>???????????mA3 115A????????,?9?????V??A????,?A?T?? ?????0????A,?>???????L?0?v???,?9??; ?;?????,?m???,?A?T????????????A,?>?? ???;?A?0?v???,?J?lA3 116A???????????A??????/???????????L 6? 2 ????A3 2A????? ???h?v???(37??(7711%)???0?? ???????,??????,???8???????(21?? (3319%),?V???????N?(???????5?I (6? 2 =20126,P<0101)A3 3A????? 311A????C?????H?????l???????????? ?4 [2] A3???????????v???O???????????? ?],???d???9?v???i?C???0?????,????, ???????P?(?????v?5???h?v????????A3?B ?Y?????L?????v?5?C?????h?v?H???????g ?C???v?C????????,???(???M???h?????? ???h?V???E?5,???h????(?<??6??) ??3681?? :1000 12/min0100 188 1?O?1?????<?Y???k ???????t?w,???L?D?????w?????t?w?G 10?S????????A,????,???1?>???????? ???W?????????????8???A????????????A3 ?=?x?R?????;?I??????????,?C???????H ?????????g????,?????x?????????????? ????A3?D???P,?????j?????h??,?????v ????????????,?????v???????????????? ??A3?????V???????????i?????3?g,???? ???v?????r??A,????A,????A,????????A, ?????IA3???O???????T???????t???????? ?R?????0???????H?????m?????V???????? ??A3 ?G?????0?????????v:(1)?T?t?? ?G???????;??,???????v?????????? NHL?D???B??A3?????0?????????????? ?D????????,?O???6???ANHL,???H?O ???????R?????????T??????A3(2)?D?? ???????3?g?;?vA3NHL?D?????????m?i ??,?????t?R???????d??????????A3 ???6???Z 1A???????11?? ?4??[J]1,2006,6 (20):3966. 2A???????,???n,???=??1B?????? ?g?????V2???4??[J]1, 2007,7(25):6163. 3A???????1[M]17?x1:???B ???t???x?K,2004. 4A?????,?D????,???O,?I1[ J]1, 2006,31(36):3. A?A????v:?????0?????????;???L?t???? ???m???t???????x???;????,???U?????? ???????????7?G?????4???????R??????, ????????????A3 (?M?:???t:2008-07-18) (?G???m??:???U??) (?P??1863??) ?v12??20?E/min,???C???v200??1200 ml,?g?????v60%?m100%,???????C?? ????,???(?????5A,??????,?;???y??, ?v?d???????a??,???N?3???v???i?C???0 ???,A3?????????i?C?????????????????i ?C?????????h???g????,?h???L???????; ??(CPR)A,?C?????h?o???RA,?C?????? ???RA,???C???,???0A,???h?v?%???????v ?????i?C?????????5A3?????????8?o???? ?(?>?C???R?K?j??A3?(?C???K?v,?L?v?? ?i?C???????,???????h?v?????????i?C?? ???0?Y70%???(?>???g?m???4?? (PaCO2 )???j??>10mmHg(1mmHg =01133kPa)A,pH?F?j??>0105 [3] A3?? ???R???L???8???????????i?C?8?o???i?C ?j??,?8?????????????%?CA3Connery ?I [4] ????????2?????g?T???g?????????0 ?L?????????i?C???o???T???g?????t?g?? ?C?N????(PEEPi)?)?????C?????????? ???g??????????????,PEEPi???)?9?v?? ???????????????wA3???8?????i?C?R???h ?v?i?C????,?????????i?C?????v?????? ????????????,???(?;?????g?????g???? ???0?O?????3,???A?????0?T?????????? ?g,?>???????????m?????????????,,?; ?3?1???L???8???????????i?CA3?G?C???? ???K?v,???h?v?????????,?9?????????? ?8??????A3 312A????L???v?5???h?v?8???t???T???h ?R???h?v??????A3?G???(3?????0?L???, ?C?Y???t?l???????v????,?????w?9?>?g ???????R?K?<??A3???????H?J?????????? ?m???????0???t?d?????g?w????,?????? ?p?g??;?????????L???G???????????<?Y ?????h?w?9?g?C???????4???????iA,?? ??,???C?>???L?????v?5???h?v?L?????? ?h???g?????????<,?L???v?????R?K???C ????????????,?(?????????????t?????C ?? [5] A3???????V?????h???????????H?d ?v?g?wA,?d??A,?H?C?????s?m?H???????? ????A,?C???????4???????i?I,?i?????L ?W???[A,?????????????????????h???4?? ???i?????????h?v????,???????????L?? ?8???????E [6] ,?)?;???l???6?????h?v ????A3 313A??G?????L???8???????C???,???(1 ???C?Y???t?C??????????,?T???J?????; ???o??A3???????v???i?C???0???,?????? ?,?Y???????h?U???h???4????,???????? ?C????????,?????????????(?????? [7] A3 ?L?h???R???L???8??????,?????4?????) ??????A3 314A??J?????C???,,?2???????????%?? ?Z?7?y??,?g?C???????C?Y?>???L??,?? ?????,?C?Y???g?C?m?%?y?y?????;???)?? ?????0???l??A3???h?v??1???Y?????0?? ???,????????,?C?Y?g?C?p???)?;???;?[ ???????A?T??A3???????????,????????, ???????????????k???h?g?m???h?v?????? ?h?????0,???????7???t???g?C [8] A3?L ???,?C?Y???????,?2?????????%?iA3???? ?h???????(???v???????????H?d?i?%A3?? ?h?v???????8???????2?(1???L?C?Y???t ???(?????????J,?R???,?????0???????( ??A3???????(?i???m,???C???,???0???h ???d?(??????????,?????????:??A,?o?k ??A,???????5?o?k???I,?????????W?(?? ?[?1?4?K??,?V????????????,???????? ????A3 315A??v???i?C???0?????;?[A,????A,?? ?m??,?????H???L???h?v???H???L???8?? ?????C???,?W???L??????????,???x?%?4 ???????????b??????,?4???0?????????? ?,?C?Y???????????2???5?m???????;???R ???????A????????,?????????????????) ?5??,???????????P??????A3 ???6???Z 1A??D???i1[M]1:?P???????? ?H???x?K,1981:50-51. 2A?????,???o?v,??????,?I1[ J]1, 2005,8(10):822. 3A???????1[ M]1:?Y???????T???g?????x?K, 2000:628. 4A?ConneryLE,DeignanMJ,GujerMW,etal. Cardiovascularcollapseassociatedwithextreme iatrogenicPEEPiinpatientswithobstructive airwaysdisease[J].BrJAnaesth,1999, 83(3):493-495. 5A?????,???U??,???n1[ J]1, 2007,7(14):3291. 6A???????,?J?[??1[ J]1, 2000,15(3):220-2211. 7A??????b,?????D1ICU???0?????????????? [J]1,2002,37(7): 510. 8A??Z????,???l??,?,?J??,?I16646???? ???l???R???????0???????J?C??[J]1, 5,()6 (?M?:???t3) (?G???m????????) ??8681?? 200820:189. :2008-07-1 :
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