低氧症

Objective:To observe the effects of long term domiciliary oxygen therapyon the quality of life in chronic obstructive pulmonary disease with hypoxemia.

目的：观察长期家庭氧疗对慢性阻塞性肺疾病伴低氧血症患者生命质量的影响。

Objective To observe the effect of oxygen therapy on hypoxaemia during sleep after general anesthesia.

目的 观察全麻后睡眠期氧疗的效果和低氧血症发生的时间。

Of hematic oxygen degree of saturation lasts 20s above is disease of low oxygen blood.

血氧饱和度2%持续20s以上为低氧血症。

Methods ①Intermittent and high flux inhalation of oxygen humidified by 50%alcohol;②Aerosol inhalation of silicon oil to the patientwith significant symptom of lung;③Intro venous injection of Methylene blue and Vitamine C according to the cyanosis;④Intro venousinjection of half dosage cedilanid to the patient with high heart rate;⑤10～ 20 milligram furosemide intro venous injection;⑥The key point iscombine and high dosage using hyoscyamine and dexamethason during the treatment and to apply respirator to the patient those who have respi-ratory failure or hypoxemia.

方法①间断高流量吸氧，同时湿化吸入50％的酒精抗泡；②肺部体征明显者雾化吸入二甲基硅油；③根据病人紫绀情况分别给予美兰或维生素C静推；④心率快者用半量西地兰静推；⑤用速尿10～20mg静推；⑥关键性治疗为莨菪碱联用地塞米松冲击疗法，遇呼衰、低氧血症者，同时使用呼吸机等。

objective to discuss perioperative complication and management of patient with high risk copd following esophagectomy.methods 45 patients with high risk copd underwent esophagectomy with epidural block combined with general anesthesia.perioperative treatment included smoking cessation,chest physiotherapy,prevention and control of infection of air way and appropriate bronchodilators of air way,breathing exercises,nutrition support and oxygen therapy.painkiller was instilled after surgery,early exercises,ensuring unobstruction of the air way,mechanical ventilation was applied when needed.results 3 had hypoxaemia in operation.after surgery,all patients had spo2 somewhat declined.6 had lung infection.6 were removed of bronchial secretion by bronchoscope.2 were supported by ventilator by using intubation.2 underwent tracheotomy.1 had disturbances of acid base balance and treated by using hydrochloric acid muriatic acid.all patients recovered rather smoothly and discharged from hospital.conclusion high risk copd is not the absolute contraindication of esophagectomy.active management before and after surgery ensures the safety and recovery of patients.

目的 探讨重度慢性阻塞性肺疾病简称慢阻肺病人食管切除术围手术期常见并发症及其处理。方法 45例重度慢阻肺的病人在全麻联合硬膜外阻滞下进行开胸食管切除手术，围手术期处理包括术前戒烟、胸部理疗、预防和控制呼吸道感染、解痉化痰、呼吸功能锻炼、营养支持和氧疗；术后硬膜外镇痛、早期锻炼、保持呼吸道通畅，部分病人予以呼吸支持。结果术中3例出现低氧血症。术后所有病人pao2均有不同程度的下降，6例出现肺部感染，6例行纤维支气管镜吸痰，2例通过气管插管给予呼吸机支持，2例行气管切开术，1例酸碱平衡紊乱使用盐酸精氨酸治疗。所有病人均痊愈出院。结论重度慢阻肺病人并非开胸食管切除手术的绝对禁忌证，积极的术前准备和严格的术后管理可减少和控制术后急性发作，有助于确保此类病人的围手术期安全和康复。

Fetal distress patterns are associated with fetal acidemia and hypoxemia.

胎儿窘迫模式与胎儿酸血症或低氧血症有关。

Fetal distress patterns are associatedwith fetal acidemia and hypoxemia.

胎儿窘迫模式与胎儿酸血症或低氧血症有关。

One, the end that domestic oxygen cure treats to COPD patient and meaning are anoxic can cause cellular loss quickly, correct anoxic main to having the COPD patient that has disease of blood of sexual low oxygen effect, research shows LTOT ameliorable COPD accompanies the survival rate that breathes exhaustion patient chronically.

一、家庭氧疗对COPD患者治疗的目的及意义缺氧可迅速引起细胞损伤，纠正缺氧对具有进行性低氧血症的COPD患者具有重要功能，探究表明LTOT可改善COPD伴慢性呼吸衰竭患者的生存率。

Art of lavement of high capacity complete lung is the method of a kind of safety, effective remedial dirt pneumonia, but art hind is easy appear the complication such as retention of disease of low oxygen blood, carbon dioxide, home undertakes oxygen cure in the convention after art only.

概要： 大容量全肺灌洗术是一种平安、有效的治疗尘肺病的方法，但术后易出现低氧血症、二氧化碳潴留等并发症，国内只在术后常规进行氧疗。

BiPAP aerates applicable AECOPD is amalgamative Ⅱ breathe out decline patient, disease of the disease of low oxygen blood that can improve a patient apparently, blood of tall carbonic acid and PH are worth and method of tradition of remedial effect excel, be worth clinical promotion application.

结论BiPAP通气适用AECOPD合并Ⅱ型呼衰患者，可明显改善患者的低氧血症、高碳酸血症及PH值且治疗效果优于传统方法，值得临床推广应用。

Fancy gold-plated dangling earrings with facetted White Opal crystals.

花式镀金悬垂耳环与facetted白欧泊水晶。

This essay chooses the study aim from biology teachers in middle school in Shi Jiazhuang which tells us that most of the middle school biology teachers in Shi Jiazhuang have the"burnout", lower successfulness, individualize.

本文选取石家庄市初中生物教师作为研究对象，运用问卷调查的方法对石家庄市初中生物教师职业倦怠的现状进行调查，调查结果发现，石家庄市初中生物教师这一群体普遍存在职业倦怠，情感枯竭程度偏高，成就感偏低，去个性化程度最为严重。