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目的:提高对慢性阻塞性肺病(AECOPD)急性加重期重症患者治疗的水平,提升救治的显效率,降低死亡率。方法:选取57例AECOPD重度患者的诊断、治疗及预后资料,并分析总结。患者多表现为呼吸衰竭或昏迷症状,使用氧疗、控制感染、扩张支气管、祛痰等治疗,采用无创呼吸机辅助通气。结果:57例患者中,显效44例(77.2%);有效8例(14.0%);死亡5例(8.8%)。结论:细菌感染是AE-COPD的主要因素,早期诊断,正确给予抗菌治疗已成为其救治的关键。发病年龄有年轻化的趋势,预防是重点。
Objective: To improve the treatment of critically ill patients with acute exacerbation of chronic obstructive pulmonary disease (AECOPD), improve the effective rate of treatment and reduce the mortality rate. Methods: Fifty-seven patients with severe AECOPD were selected for diagnosis, treatment and prognosis. The data were analyzed and summarized. Patients showed more respiratory failure or coma symptoms, the use of oxygen therapy, infection control, bronchial expansion, expectorant and other treatment, noninvasive ventilator-assisted ventilation. Results: Of 57 patients, 44 (77.2%) were markedly effective, 8 (14.0%) were effective and 5 (8.8%) were death. Conclusion: Bacterial infection is the main factor of AE-COPD. Early diagnosis and correct administration of antibacterial therapy have become the key to its treatment. The age of onset of younger trend, prevention is the key.