静脉输氧技术治疗感染性疾病严重低氧血症的探讨.docVIP

静脉输氧技术治疗感染性疾病严重低氧血症的探讨 -- 附11例临床观察的初步报告 何清1 许诚1 王松1 崔建军1 段刚1叶涛生1 周伯平1 杨大国1 赵连三2 * 1 深圳市东湖医院 2 四川大学华西医院感染病中心 人类疾病生物治疗教育部重点实验室 摘 要 目的 探讨纠正传染性非典型性肺炎及其他感染病患者严重低氧血症的新疗法。 方法 将氧气以高浓度溶解在常规输液用的液体内，制备成为富氧液，通过静脉输液的方式进行输氧，对6例传染性非典型性肺炎，3例艾滋病，2例败血症，每日静脉滴注富氧输液500-700ml，疗程1-7日。 结果 在静脉输注富氧液20分钟至4小时后，11例患者的低氧血症均逐渐恢复正常。 结论 传染性非典型性肺炎及其他感染性疾病患者的低氧血症，常规气道供氧有时难以奏效；静脉输氧技术直接为组织供氧，为机体开辟了第二条供氧的途径，能够迅速提高血氧分压，可作为感染性疾病严重低氧血症的综合治疗措施之一。尤其是静脉输氧技术绕过了传染性非典型性肺炎患者肺泡弥散功能的障碍，有助于此类患者的抢救。 关键词 传染性非典型性肺炎、SARS、艾滋病、败血症、静脉输氧 _____________________________________________________________________ * 通讯作者 本项目受深圳市科技局科研基金资助。 The Study of Oxygen-enriched Liquid infusion Used for Correcting Severe Hypoxemia of infectious diseases －With a Pilot Clinical Study Report He Qing1 Xu Cheng1 Wang Song1 Cui Jianjun1 Duan Gang 1 yetaosheng1 Zhou Boping 1 Yang Daguo 1 Zhao Liansan*2Key words: SARS; Oxygen-enriched Liquid infusion;? hypoxemia1 Donghu Hospital of Shenzhen2 Key Lab. of Biological therapy of Human Diseases of the Ministry of Education of the Center of Infectious Diseases, West China Hospital of Sichuan University （610041，Chengdu, China. Tel:02885422635）* Corresponding author.** Granted by the Committee of Science and Technology of Shenzhen City.?Objective：Seeking for a new therapy? for effectively correcting severe hypoxemia of infectious diseases cases in terms of oxygen-enriched liquids infusion, for a rapid boost of the pressure of blood oxygen bypassing the pathologically damaged alveolus of such patients.Method: intravenous drip? with of oxygen-enriched liquids for 6 cases suffered from SARS ,3 cases suffered AIDS,2 cases suffered from septicemia in courses of treatment varying between 1 to 7 days, 500-700ml per day.Result: For all the 11 SARS cases, their hypoxemia gradually corrected to normal in 20 minutes or 4 hours during intravenous drip with oxygen-enriched liquids.Conclusion: Intravenous drip of the oxygen-enriched liquids had effective