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目的讨论重症肺炎并发呼吸衰竭的呼吸机辅助通气有效模式。方法对8例重症肺炎并发呼吸衰竭患者采取6～8ml/kg的潮气量。呼气未下压(PEEP)15～25cmH2O,容量-压力控制模式进行呼吸机辅助通气。结果 8例患者注用呼吸机辅助通气及抗感染、抗氧化及对症治疗6例患者康复。1例患者死亡,1例患者放弃治疗。结论小潮气量、高PEEP治疗重病肺炎并发呼吸衰竭是行之有效的,能够有效的提高临床治愈率。
Objective To discuss the ventilator-assisted ventilation mode of severe pneumonia complicated with respiratory failure. Methods Eight patients with severe pneumonia complicated with respiratory failure were treated with 6-8ml / kg tidal volume. Expiratory pressure is not under pressure (PEEP) 15 ~ 25cmH2O, capacity - pressure control mode for ventilator-assisted ventilation. Results Eight patients received ventilator-assisted ventilation and anti-infection, and anti-oxidant and symptomatic treatment of 6 patients recovered. One patient died and one patient gave up treatment. Conclusions Small tidal volume and high PEEP are effective in the treatment of severe pneumonia complicated with respiratory failure, which can effectively improve the clinical cure rate.