无创正压通气治疗急性心源性肺水肿的疗效观察及护理  

作　　者：罗小青[1] 刘有莲[1] 谢春萍[1] 

机构地区：[1]广州市第一人民医院ICU,广东广州510180

出　　处：《现代临床护理》2011年第12期39-40,38,共3页Modern Clinical Nursing

摘　　要：目的探讨无创正压通气治疗急性心源性肺水肿患者的疗效及护理要点。方法对21例常规抗心力衰竭治疗无效的急性肺水肿患者使用无创正压通气。观察无创正压通气前与通气后1h患者生命体征、氧分压、并发症发生情况和肺水肿改善情况。结果本组21例患者除2例因病情无改善,改予经鼻纤支镜引导下气管插管机械通气,19例患者经治疗肺水肿改善;无创正压通气1h后患者生命体征、氧分压、氧合指数改善情况优于无创正压通气前,通气前后比较,均P<0.01,差异具有统计学意义。结论使用无创正压通气能在短期内显著地改善患者低氧血症和心力衰竭症状,从而缩短呼吸机使用时间。Objective To investigate the healing efficacy of noninvasive positive pressure ventilation in patients with acute cardiogenic pulmonary edema. Methods 21 patients with acute cardiogenic pulmonary edema responding ineffectively to conventional therapy, received treatment via noninvasive positive pressure ventilation. They were evaluated in terms of vital sign, oxygen partial pressure, complications and the improvement of pneumonedema one hour separately before and after the treatment. Results 2 patients showed no improvement, but were cured by the nasal tracheal intubation under the guidance of bronchoscopy. The pulmonary edemae in 19 patients were ameliorated after the treatment via noninvasive positive pressure ventilation. Their vital sign, oxygen partial pressure and oxygenation index one hour after the noninvasive positive pressure ventilation were steadier than before （P 〈 0.01 ）. Conclusion Noninvasive positive pressure ventilation can alleviate the hyoxemia in a short period and shorten the duration of respiratory assistance.

关 键 词：无创正压通气 心源性肺水肿 护理 

分 类 号：R473.5[医药卫生—护理学]