面（鼻）罩双水平气道正压通气对慢阻肺合并急性早、中期呼衰的临床应用  

CIinic Application of Bi-level Positove Airway Pressure Ventilation to COPD as well as Acute Respitory Fail ure in Early and Middle Period

作　　者：徐鸥[1] 黄家志[1] 李兴文[1] 沈涛[1] 罗卫清 

机构地区：[1]昆明医学院第一附属医院呼吸内科

出　　处：《昆明医学院学报》1995年第3期77-79,84,共4页Journal of Kunming Medical College

摘　　要：对１１例慢性阻塞性疾病（ＣＯＰＤ）经鼻导管吸氧（ＦｉＯ２＜３５％）仍处于早、中期呼衰者，施行面（鼻）罩双水平气道正压（Ｂｉ－ｌｅｖｅｌＰｏｓｉｔｉｖｅＱｉｒｗａｙＰｒｅｓｓｕｒｅ，ＢｉＰＡＰ）辅助通气，吸气相正压（ＩＰＡＰ）为１～１．５ｋＰａ，呼气相正压（ＥＰＡＰ）为０．２～０．５ｋＰａ，观察治疗前后ＰａＯ２，ＰａＣＯ２，ＳａＯ２，潮气量估计值等临床指标的变化，经配对ｔ检验，结果均有显著性差异，且患者症状缓解快，操作简便，清醒病人均能接受，早期应用可为临床治疗赢得时间．pplying facial or nasal mask of bi-level positive airway pressure assistant ventilation to 11patients of COPD respiratory failure who after rhinophore breathed oxygen are still in early ormiddle period.IPAP 1～1.5 kPa ,EPAP 0.2～0.5 kPa,Changes were observed pre-and post-the treatment; BOth results have been improved through examing t tests from a complete set.Such as PaCO2,PaCO2 ,SaO2,VTE,etc.The method is simple and the effect is remarkble.Itgains time for clinic treatment if used early enough.

关 键 词：慢阻肺 阻塞性肺疾病 机械通气 呼吸衰竭 面罩 

分 类 号：R563.805[医药卫生—呼吸系统]