Rajapakse V P, Wijesekera S
General Hospital Kandy (Teaching), Sri Lanka.
Ann R Coll Surg Engl. 1989 Nov;71(6):344-6.
The outcome of mechanical ventilation is reported in a series of 43 patients managed in an intensive care unit in Sri Lanka. Eighteen patients (42%) survived. Of these, all except one were discharged from hospital. Patients with organophosphate poisoning and Guillain-Barré polyneuritis had a mortality of 47% and 50% respectively. Patients who were ventilated postoperatively as a result of anaesthetic complications during surgery had a mortality rate of 20%. Patients with tetanus and myasthenia gravis had 100% recovery. The following categories of patients had a poor prognosis with 100% mortality: patients with severe head injuries, subarachnoid haemorrhage, non-traumatic coma, severe chest injuries and porphyria. The series is compared to similar series from other countries.
在斯里兰卡一家重症监护病房对43例接受机械通气治疗的患者的治疗结果进行了报告。18例患者(42%)存活。其中,除1例之外均已出院。有机磷中毒和吉兰 - 巴雷多发性神经炎患者的死亡率分别为47%和50%。因手术期间麻醉并发症而在术后接受通气治疗的患者死亡率为20%。破伤风和重症肌无力患者的康复率为100%。以下几类患者预后较差,死亡率为100%:重度颅脑损伤、蛛网膜下腔出血、非创伤性昏迷、重度胸部损伤和卟啉病患者。该系列病例与其他国家的类似系列病例进行了比较。