应用无创正压通气方法对急性心源性肺水肿缺氧状态疗效的观察  

The Short-term Effect of Non-invasive Positive Pressure Ventilation(NIPPV) on Acute Cardiac Pulmonary Edema

作　　者：陈映琳[1] 陈肖兰[1] 黄嵩[1] 

机构地区：[1]汕头大学医学院第一附属医院心内科,广东汕头515041

出　　处：《河北医学》2009年第4期454-456,共3页Hebei Medicine

摘　　要：目的:评价无创正压通气(NIPPV,下称NIPPV)方法对急性心源性肺水肿缺氧状态短时疗效。方法:选择15例符合急性心源性肺水肿诊断标准的心衰病人,采用NIPPV方法供氧。全部病例经强心、利尿、扩血管及标准氧疗仍缺氧的状态下,采用NIPPV方法供氧,于1h内监测血氧分压(PaO2)、氧饱和度(SaO2)、二氧化碳分压(PaCO2)、心率(HR)、呼吸(R)前后变化。结果:应用NIPPV方法后,PaO2、SaO2、HR、R等指标较前明显改善(P值<0.01,具有显著性差别)。结论:应用无创正压通气NIPPV方法治疗急性心源性肺水肿具有疗效确切,操作快捷、方便和安全,是治疗急性心源性肺水肿的重要措施之一。Objective：To estimate the short - term effect of non - invasive positive pressure ventilation （ NIPPV） on acute cardiac pulmonary edema. Method： 15 heart failure patients were selected according to the acute cardiac pulmonary edema diagnostic criteria. All the patients were treated with Lanatoside C, lasix, nitroprusside sodium and the standard oxygen therapy but were still anoxic. The NIPPV was adopted. In the next 1 hour, the indices of PaO2, SaO2, PaCO2, HR and R were recorded to be compared with those before. Result： After the appliance of NIPPV, the indices of PaO2, SaO2, HR and R were significantly im-proved （P 〈0. 01 ）. Conclusion： NIPPV is considered to be an important management for the acute cardiac pulmonary edema, which includes the advantage of exact effect, convenient operation and safety.

关 键 词：无创正压通气 急性心源性肺水肿 

分 类 号：R541.63[医药卫生—心血管疾病]