호흡관리 중환자의 사망례에 대한 고찰

Abstract

A clincal study was performed on the mortality cases among the patients who were admitted in the Respiratory Intensive Care Unit in Seoul National University Hospital from 1979 to 1982. The total number of patients who were managed in Respiratory Intensive Care Unit in this period was 2,727 and the mortality cases among them were 243 and the overall mortality rate was 8.996. The mortality rate in 1979 was 19.196 but this was reduced to 4.6% in 1982. The highest mortality rate was recorded by the patients of Department of Neurosurgery. This was 66.7% in 1979 but reduced to 6.3% in 1982. The mean mortality rate under 1 year of age in this period showed 20.5% which was the highest. The mortality rate in each sex in the adopted duration showed no significant difference from each other. The ventilators which were used for respiratorysupport were one kind of pressure regulated mode (Bird) and several models of volume and time regulated type (Bennet MA·), Emerson, Faregger, Bourns and Searle). The causes of death were low cardiac output, sepsis, brain demage, respiratory failure, and others in order of their prevalence.