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- W2365408067 abstract "Objective To summarize the cause of chronic obstructive pulmonary disease complicating respiratory failure and the experience and lesson in the emergency treatment. Methods Clinical data of the inpatients suffered from COPD complicating respiratory failure were collected from January 2005 to December 2006. Result The total number of white blood cells in the blood from 20 of 30 cases of COPD complicating respiratory failure excessed normal level. The syndrome was liver or renal dysfunction(12 cases),digestive tract hemorrhage(3 cases), electrolytical turbulence(7 cases), respiratory acidemia(23 cases), metabolic acidemia(8 cases),or respiratory alkalemia(7 cases),respectively. Twenty-four inpatients were cured by conservative routine antimicrobial, antituberculous, oxygen supplementation, bronchodilation, mucolytic therapy. 6 cases who were not fully responsive to routine treatment were mechanically ventilated. Then secretion aspiration,bronchoalveolar washing and lavage by fiberoptic bronchoscopy were performed. Three cases died from ventilation-associated pneumonia,high air pressure injure,infectious shock,disseminated intravascular coagulation,obstinate heart failure,severe electrolytical turbulence,or drug-resistant pulmonary tuberculosis. Conclusion Pulmonary infection and tuberculosis could aggravate chronic obstructive pulmonary disease complicating respiratory failure. High effective rate (90%)is observed in the inpatients with chronic obstructive pulmonary disease complicating respiratory failure by routine treatment,mechanical ventilation,secretion aspiration,bronchoalveolar washing and lavage by fiberoptic bronchoscopy and antimicrobial treatment by germiculture and drug susceptibility test of suptum or bronchoalveolar lavage liquid. It is very important for the improvement of successful treatment of COPD complicating respiratory failure by preventing the development of syndrom from mechanical ventilation. But noted is the high death rate (50%) observed in the multi-drug resistant tuberculous patients with COPD complicating severe respiratory failue by mechanical ventilation." @default.
- W2365408067 created "2016-06-24" @default.
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- W2365408067 date "2008-01-01" @default.
- W2365408067 modified "2023-09-23" @default.
- W2365408067 title "30-case report and the analysis of COPD complicated with respiratory failure" @default.
- W2365408067 hasPublicationYear "2008" @default.
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