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20250210220620.0 |
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231223s2009 xx ||||| 00| ||chi c |
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|a pubmed25n0641.xml
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|a (DE-627)NLM192209094
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|a (NLM)19846003
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|a DE-627
|b ger
|c DE-627
|e rakwb
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| 041 |
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|a chi
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| 100 |
1 |
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|a Zhu, Yun-kui
|e verfasserin
|4 aut
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| 245 |
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|a Clinical analysis of value of different modes of respiratory support in the treatment of critical patients
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|c 2009
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| 336 |
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|a Text
|b txt
|2 rdacontent
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|a ohne Hilfsmittel zu benutzen
|b n
|2 rdamedia
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| 338 |
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|a Band
|b nc
|2 rdacarrier
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| 500 |
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|a Date Completed 02.11.2010
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|a Date Revised 22.10.2009
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|a published: Print
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|a Citation Status MEDLINE
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|a OBJECTIVE: To investigate the relationship between the successful results with different methods and time of initiation of respiratory support in critically ill patients
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| 520 |
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|a METHODS: The clinical data of 458 critical care patients were reviewed and analyzed. Among the patients, there were 47 cases of cardio-pulmonary resuscitation, 105 cases of acute airway obstruction, 156 cases of acute respiratory failure, and 150 cases of chronic respiratory failure. Intubation, or tracheostomy, or non-invasive positive pressure ventilation (NPPV) at different times and occasions were performed in the patients
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| 520 |
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|a RESULTS: One hundred and seventeen cases (25.5%) died during the respiratory support treatment, 49 cases gave up the treatment, and 292 patients (63.8%) were cured after mechanical ventilation. As the success rate was the lowest in patients who survived cardio-pulmonary resuscitation (21.3%, 10/47), it was higher in acute respiratory failure (55.1%, 86/156), and the best result (82.8%, 87/105) was obtained in the acute airway obstruction group and patients with chronic respiratory failure (72.7%, 109/150). In the group of patients undergoing early respiratory support, the cure rate was 95.0% (57/60) in patients with invasive method, and 95.5% (21/22) in the NPPV group. The result was significantly different compared with that of later treatment group [81.7% (68/82) in invasive group, and 60.9% (2/29) in NPPV group, both P<0.01]. It demonstrated that the earlier the respiratory support was given the better results. If the respiratory support was delayed, cure rate was significantly reduced [65.6% (63/96) in invasive group and 48.1% (13/27) in NPPV group, both P<0.01]. The cure rate was no difference between different modes of respiratory support between early treatment groups, however, invasive respiratory support was much better than NPPV [44.4% (40/90) and 0 (0/5)] when instituted in the late stages (all P<0.01)
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|a CONCLUSION: It is of prime importance to ensure optimal ventilation in the early stage of diseases, the difficulty and risk of establishment of a patent airway are main problems in the treatment of critically ill patients
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|a Comparative Study
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|a English Abstract
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|a Journal Article
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| 650 |
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|a Research Support, Non-U.S. Gov't
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| 700 |
1 |
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|a Xu, Yue-bin
|e verfasserin
|4 aut
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| 700 |
1 |
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|a Li, Ji-dong
|e verfasserin
|4 aut
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| 700 |
1 |
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|a Wang, Shu
|e verfasserin
|4 aut
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| 700 |
1 |
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|a Xiao, Yong-jiu
|e verfasserin
|4 aut
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| 700 |
1 |
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|a Wei, Zhe
|e verfasserin
|4 aut
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| 700 |
1 |
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|a Liu, Du-jiao
|e verfasserin
|4 aut
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| 700 |
1 |
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|a Liu, Wei
|e verfasserin
|4 aut
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| 700 |
1 |
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|a Xue, Qing-liang
|e verfasserin
|4 aut
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| 700 |
1 |
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|a Zhou, Xiao-feng
|e verfasserin
|4 aut
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| 773 |
0 |
8 |
|i Enthalten in
|t Zhongguo wei zhong bing ji jiu yi xue = Chinese critical care medicine = Zhongguo weizhongbing jijiuyixue
|d 1998
|g 21(2009), 10 vom: 22. Okt., Seite 590-2
|w (DE-627)NLM098227793
|x 1003-0603
|7 nnns
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| 773 |
1 |
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|g volume:21
|g year:2009
|g number:10
|g day:22
|g month:10
|g pages:590-2
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|a GBV_USEFLAG_A
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| 912 |
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|a SYSFLAG_A
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|a GBV_NLM
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| 912 |
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|a GBV_ILN_350
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| 951 |
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|a AR
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| 952 |
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|d 21
|j 2009
|e 10
|b 22
|c 10
|h 590-2
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