卒中合并院内肺炎患者呼吸支持的适应症

Anesteziologiia i reanimatologiia Pub Date : 2016-09-01
T Yu Nedorostkova, E V Eliseev
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引用次数: 0

摘要

80例脑卒中合并院内肺炎患者分为两组,每组40例。在研究开始时,各组的严重程度是匹配的。2011-2015年期间,所有患者在莫斯科奥姆菲拉托夫临床城市医院N2 15的神经重症监护室接受了综合治疗。两组患者均接受机械肺通气:1组患者存在严重的呼吸窘迫和/或意识下降的临床表现,2组患者血液参数酸碱状态偏离标准。本研究结果显示了机械肺通气转移患者的第一个临床和实验室标准,即血酸碱状态(pH、乳酸、葡萄糖、pCO₂、po₂)指标的变化和神经功能缺损程度,而不是脑卒中患者严重呼吸衰竭形式的临床表现。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
[INDICATIONS FOR RESPIRATORY SUPPORT AT PATIENTS WITH STROKE AND NOSOCOMIAL PNEUMONIA.]

80 patients with cerebral stroke and nosocomial pneumonia ofwhich formed 2 groups of 40 patients each were included in the study. The groups were matched for severity at the beginning of the study. All patients received comprehensive treatment in the conditions of the neurological intensive care unit in 2011-2015 in the O.M Filatov clinical city hospital N2 15, Moscow. Patients from both groups were transferred on mechanical lung ventilation: group I - in the presence of severe clinical picture of respiratory distress and/or depression of consciousness, and group 2 -with deviations from the norm of acid-base status of blood parameters. The results of the study shows the first clinical and laboratory criteria for the transfer patients on mechanical lung ventilation, which are the changes of indicators in blood acid-base status (pH, lactate, glucose, pCO₂, po₂) and the degree of neurological deficit, not the clinical picture in the form of severe respiratory failure in patients with cerebral stroke.

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