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慢性重症患者出院4个月后的结局分析

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摘要 目的观察慢性重症患者出院4个月后的结局。方法对慢性重症患者出院4个月时的临床资料进行分析,观察患者的结局:①良好结局:出院2个月无认知损害,出院4个月仍然存活且居住在家。②不良结局:出院2个月存在认知损害,或出院后死亡,出院后4个月未在家居住。结果 218例患者出院时无需辅助呼吸,111例结局良好。159例患者出院时认知完好,其中111例结局良好。39例辅助呼吸患者仅1例结局良好。98例出院时存在认知障碍,29例结局良好。结论需要辅助呼吸及持续性认知损害患者出院4个月多数结局不良。
出处 《中国实用医药》 2011年第26期230-232,共3页 China Practical Medicine
关键词 慢性病 重症 结局
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参考文献8

  • 1Boles JM,Bion J,Connors A,et al.Weaning from me chanical ventilation.Eur Respir J,2007,29(5):1033-1056.
  • 2杨国辉,王广发.临床肺部感染评分对呼吸机相关肺炎患者预后的评价[J].中华结核和呼吸杂志,2006,29(11):751-754. 被引量:47
  • 3Upadya A,Tilluckdharry L,Muralidharan V,et al.Fluid balance and weaning outcomes.Intensive Care Med,2005,31(12):1643-1647.
  • 4Singh N,Rogers P,Atwood CW,et al.Short-course empiric antibiotic therapy for patients with pulmonary infiltrates in the intensive cane unit.Am J Respir Crit Care Med,2000,162(2):505-511.
  • 5陈瑛,汤宾祥,刘新.机械通气治疗慢性阻塞性肺疾病并发急性呼吸衰竭[J].临床荟萃,2003,18(14):806-807. 被引量:4
  • 6Teno JM,Fisher E,Hamel MB,et al.Decision-making and outcomes of prolonged ICU stays in seriously ill patients.J Am Geriatr Soc,2000,48(5 suppl):S70-S74.
  • 723.Goring H,Baldwin R,Marriott A,Pratt H,Roberts C.Validation of short screening tests for depression and cognitive impairment in older medically ill in-patients.Int J Geriatr Psychiatry,2004,19(5):465-471.
  • 8Combes A,Costa MA,Trouillet JL,et al.Morbidity,mortality,and quality of life outcomes of patients requiring 》14 days of mechanical ventilation.Crit Care Med,2003,31:1373-1381.

二级参考文献15

  • 1徐凤平,蔡映云.驱动时间常数作为呼吸肌耐力指标的评价[J].中华医学杂志,1993,73(1):29-31. 被引量:3
  • 2姜辉,俞森洋.临床肺感染评分诊断通气机相关肺炎[J].中华医院感染学杂志,2005,15(7):751-752. 被引量:37
  • 3陈荣昌,张宇光.慢性阻塞性肺疾病的膈肌疲劳[J].中华结核和呼吸杂志,1989,12(3):158-160. 被引量:13
  • 4Nava S, Ambrosino N, Clini E, et al. Noninvasive mechanical ventilation in the weaning of patients with respiratory failure due to chronic obstructive pulmonary disease. A randomized,controlled trial[J]. Ann Intern Med, 1998,128(3):721-728.
  • 5Girault C, Daudenthun I, Chevron V, et al. Noninvasive ventilation as a systematic extubation and weaning technique in acute or chronic respiratory failure. A prospective, randomized controlled study[J]. Am J Respire Crit Care Med, 1999,160(1):86-92.
  • 6Kramer B. Ventilator-associated pneumonia in critically ill patients[J]. Ann Ineern Med,1999,130(4):1027-1028.
  • 7Vincent JL,Bihari DJ,Suter PM,et al.The prevalence of nosocomial infection in intensive care units in Europe.Results of the European Prevalence of Infection in Infection in Intensive Care (EPIC) Study.EPIC International Aclvisory Committee.JAMA,1995,274:639-644.
  • 8Luna CM,Blanzaco D,Niederman MS,et al.Resolution of ventilator-associated pneumonia:prospective evaluation of the clinical pulmonary infection score as an early clinical predictor of outcome.Crit Care Med,2003,31:676-682.
  • 9Nseir S,Marquette CH.Diagnosis of hospital-acquired pneumonia:postmortem studies.Infect Dis Clin North Am,2003,17:707-716.
  • 10Luyt CE,Chastre J,Fagon JY.Value of the clinical pulmonary infection score for the identification and management of ventilator-associated pneumonia.Intensive Care Med,2004,30:844-852.

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