Old COPD accompanies the II type to breathe depleted patient's repeated machinery and keep in touch with and treat _'s treatment
Division of respiratory disease of general hospital of the navy Wang HongWu Section accumulates uranium Han ZhiHai Lai LiFen Tian Guang [Summary ] purpose: Summarizing old COPD accompanies the II type to breathe depleted patient's repeated machinery and keep in touch with the therapeutic experience. The method analyzes 19 old COPDs accompany E-shapedly to breathe the depleted patient to break out repeatedly, clinical materials and therapeutic effect of ventilating in machinery three or more times. 19 patient machinery keep in touch with 53 altogether as a result. BiPAP breathing machine 14 each among them, pass each of nose trachea intubate 26, tracheostomy 13 is each. The intersection of 5 people and competent BiPAP only and treat through the intersection of nose and the intersection of trachea and intubate, do tracheostomy. Three keep in touch with way, it spends the intersection of plane and time to be one about week, curative effect also similar, it is about 80%. Time is 40 months that this group of cases survive on average, survival rate is 89.5% in one year, 3 survival rate is 47.4%, 5 survival rate is 36.8%. Future trouble person puts and manages tracheostomy for a long time, disconnected machinery is kept in touch with, 2 survive for over 3 years, 2 over 7 years. The conclusion selects different way machinery for use to keep in touch with according to the condition, the surviving time of extension patient that can be at various degrees. Many the intersection of way and combination application that machinery keep in touch with, can reduce patient's agony, reach the same curative effect.
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