论文部分内容阅读
对６２例ＰａＯ＿２＜４．００ｋＰａ（３０．０ｍｍＨｇ）的高原肺心病极重度呼吸衰竭并发多器官衰竭患者采用了抗感染、通畅气道、利尿、强心、吸入２９％～３５％氧、呼吸兴奋剂、糖皮质激素、降低血粘度等措施救治，救治成功率８８．７％，病死率１１．３％。作者认为采用本方法救治２４ｈ后，若患者ＰａＯ＿２能提高到５．３３ｋＰａ（４０．１Ｈｇ）以上，则基本可救治成功，若ＰａＯ＿２仍小于４．００ｋＰａ（＜３０．０ｍｍＨｇ），则应尽早行机械通气。作者对其救治中的氧疗及降血粘度治疗等诸问题进行了讨论。
62 cases of PaO_2 <4.00kPa (30.0mmHg) altitude sickness pulmonary heart disease with severe respiratory failure complicated by multiple organ failure patients with anti-infection, smooth airway, diuretic, cardiac, inhaled 29% to 35% oxygen, respiratory excitement Agents, glucocorticoids, blood viscosity and other measures to reduce the blood pressure, treatment success rate of 88.7%, case fatality rate of 11.3%. The authors believe that the method of treatment 24h, PaO_2 patients can be increased to 5.33kPa (40.1Hg) or more, the basic can be successfully treated, if PaO_2 is still less than 4.00kPa (<30.0mmHg), the line should be as early as possible machinery Ventilation. The author discussed the treatment of oxygen therapy and blood viscosity reduction and other issues were discussed.