应用BiPAP无创机械通气治疗急性心源性肺水肿的疗效观察  

Clinical Study of Noninvasive Mechanical Bi-level Positive Airway Pressure Ventilation in the Treatment of Acute Cardiogenic Pulmonary Edema

作　　者：谢皓空 段顺元 李毓琴[1] 夏汉 

机构地区：[1]湖南省永州市人民医院急诊科,湖南永州425006

出　　处：《中外医疗》2008年第21期28-29,共2页China & Foreign Medical Treatment

摘　　要：目的评价BiPAP无创机械通气治疗急性心源性肺水肿的疗效。方法对我院收治的急性心源性肺水肿随机分为两组,治疗组25例急性心源性肺水肿患者在传统常规治疗同时加用BiPAP呼吸机经鼻(面)罩双水平气道正压通气治疗,对照组23例在传统常规治疗上加用鼻导管给氧治疗。结果BiPAP组通气治疗后,23例患者临床症状明显改善,血气分析中pH、PaO2、PaCO2、SaO2等参数比较有显著性差异(P<0.05),总有效率为92.0%,避免了气管插管机械通气。对照组总有效率为73.9%。结论BiPAP无创机械通气治疗急性心源性肺水肿能迅速纠正缺氧、改善心功能,可作为抢救急性心源性肺水肿的一种安全有效的方法。Objective To asses the efficacy of noninvasive nasal(facial) mask Bi-level positive airway pressure ventilation in acute cardiogenic pulmonary edema. Methods Dividing all the patients with acute cardiogenic pulmonary edema admitted in our hospital into two groups stochastically: treatment group and control group. 25 patients in the treatment group were treated with noninvasive nasal (facial) mask Bi-level positive airway pressure(BiPAP) ventilation in addition to conventional treatment. 23 patients in the c...

关 键 词：BIPAP 急性 心源性肺水肿 无创机械通气 

分 类 号：R541.6[医药卫生—心血管疾病]