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低氧症

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For the aged critical illness patients with acute heart failure,MV could relieve anoxemia, hypercapnia and respiratory insufficiency effectively, and obviously increase success rate of emergency care.

机械通气能及时有效地缓解老年急性左心衰患者的低氧血症、高碳酸血症和呼吸功能障碍,明显提高老年急性左心衰患者的治疗抢救成功率。

Methods Fiftythree patients with SAP admitted from 1995 to 1999 was categorized as group 1, and 57 patients admitted from 2000 to 2005 as group 2, were analyzed retrospectively. Ranson′s score, acute physiological and chronic health evaluationⅡ score, Balthazar CT grade, presence or absence of biliary tract obstruction, hypoxia, lung infection, shock, abdomen compartment syndrome, hyperlipemia, pleural effusion were analysed logistically. Mortality following different treatments and incidence rate of complications were also evaluated.

回顾性分析安徽省立医院1995—1999年收治的53例SAP患者(第1组)和2000—2005年收治的57例SAP患者(第2组)临床资料,对患者Ranson评分、急性生理学与慢性健康状况评分Ⅱ、Balthazar CT分级以及是否伴有胆道梗阻、休克、高脂血症、腹腔间隙综合征、低氧血症、肺部感染、胸腔积液等因素进行多因素Logistic回归分析,分析不同治疗方法对并发症发生率和病死率的影响。

The blood pressure of.1 of pathology physiology mechanism that SAS causes CVD breathes time-out to be able to bring about airframe in elevatory Morpheus anoxic, sympathetic is excessive and excited, element of serous catechu phenolic amine, kidney and hemal endodermis element are elevatory, bring about hemal easy of hemal convulsion; to shrink the function is disorder, can make blood-vessel flowing flesh happening reframes and fleshy, systemic blood-vessel obstruction adds element of the kidney when; is chronic and anoxic, system of hemal and nervous element is activationed, bring about blood pressure to lift. Obstruction of way of energy of life of patient of OSAS of disease of blood of 1.2 low oxygen increases, cause air current to interrupt, breath pauses, at the same time airframe gets used to low oxygen environment gradually, breathing centre drops to low oxygen and sensitivity of disease of blood of tall carbonic acid, breath suspends a frequency increasing, farther aggravating airframe is anoxic. 1.3 heads are self-adjusting the function drops normal person changes quickly in systematic circulation blood pressure when, the head can be passed adjust independently functional generation protects effect, make change of cerebral blood flow not big.

SAS诱发CVD的病理生理机制。1血压升高睡眠中呼吸暂停可导致机体缺氧,交感神经过度兴奋,血浆儿茶酚胺、肾素以及血管内皮素升高,导致血管痉挛;血管舒缩功能紊乱,可使血管平滑肌发生重构和肥厚,全身血管阻力增加;慢性缺氧时肾素—血管紧张素系统被激活,导致血压升高。1.2低氧血症OSAS患者气道阻力增加,造成气流中断、呼吸暂停,同时机体逐渐适应低氧环境,呼吸中枢对低氧和高碳酸血症敏感性下降,呼吸暂停次数增加,进一步加重机体缺氧。1.3脑自动调节功能下降正常人在体循环血压快速变化时,脑可通过自主调节功能产生保护效应,使脑血流量变化不大。

Because chronic obstructive inflammation of airway severely influences the ventilation and exchange function of COPD patients, The motor ability of patients is limited .Despnoea and fatigue limit patients to sedentary,because of this, skeletal muscle began to analosis,oxygen uptaking capacity of skeletal muscle descends,and concentration of chondriosome degrades.Function limitation of skeletal muscle causes oxygen needs increase,so vicious cycle emerges,and further to restrict patient's respiratory and motor function.

由于气道的慢性炎症性阻塞,严重影响了慢阻肺患者的通气及换气功能,使得患者的运动能力明显受限,因喘息和疲劳而限制了患者的运动能力,使患者出现久坐,由此出现骨骼肌的萎缩,骨骼肌摄氧能力下降,线粒体氧浓度降低,骨骼肌的功能受限又会引起通气量不足,进而引起低氧血症和高碳酸血症,使患者的摄氧需求增加,由此出现恶性循环,进一步制约了患者的呼吸和运动功能。2001年正式提出肺康复作为中重度COPD患者稳定期非药物治疗的首选管理方案。

Chronic obstructive pulmonary disease variously accompanied with hypersecretion and airway obstruction in acute period.

慢性阻塞性肺疾病急性期常发生痰多及气道阻塞,并因低氧血症、高碳酸血症和酸碱失衡而危及患者生命。

Objective To observe the preventive effect of early postoperative hypoxemia in aged patients with oxygenator by intravenous oxygen delivery.

目的 探讨舒氧康静脉给氧对老年病人术后早期低氧血症的防治效果。

Absorption and supportive therapy at every pore,diazepam or droperidol,explore the reason and treatment of phrenitis.[Result] The reason and mechanism mainly are low?oxygen blood symptom,post?

结果]髋部骨折术后谵妄的病因及发病机制主要为低氧血症、术后疼痛、睡眠障碍、手术应激反应、药物毒性作用、贫血脱水低蛋白血症等。

These patients hae moderate to seere pulmonary hypertension with accentuated hypoxemia and exaggerated polycythemia.

这些患者常有中等到严重程度的肺动脉高压,表现为严重的低氧血症和红细胞增多症。

Results 14 of 30 patients were desaturation with SaO2 lower than 90% during exercise testing.

结果 在第一、第二级运动负荷时,氧疗对低氧血症组和无低氧血症组的影响十分接近。

In late pregnancy the esophageal detector device is more likely to suggest esophageal placement (the aspirating bulb does not reinflate after compression) when the tube is actually in the trachea.

呼吸 ――妊娠患者因为自身功能性残气量减少和耗氧量增多可以迅速的形成低氧血症,因此救护者对其行给氧和通气处理。

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