急诊无创呼吸机联合药物在急诊慢性阻塞性肺气肿急性发作中的应用  

Application of Emergency Noninvasive Ventilator and Drugs in the Acute Exacerbation of Chronic Obstructive Pulmonary Emphysema

作　　者：潘唐超[1] 谢胜德[1] 

机构地区：[1]广东医学院附属三水医院急诊科,广东佛山528100

出　　处：《中国医药指南》2012年第15期440-441,共2页Guide of China Medicine

摘　　要：目的观察无创呼吸机联合药物在急诊慢性阻塞性肺气肿急性发作中的应用效果,为临床急救工作提供参考。方法选择我院急诊收治2010年1月至2011年12月收治的慢性阻塞性肺气肿急性发作患者42例,及时给予无创呼吸机联合药物治疗,观察并比较患者治疗前后呼吸频率(RR)、心率(HR)和动脉血气分析结果的差异。结果全部患者症状均得到不同程度的缓解,未发生一例死亡。与治疗前比较,患者治疗后RR、HR、pH、PaO2、PaCO2、SpO2等指标均有明显改善,差异有统计学意义(P<0.05)。结论在急诊抢救时采用无创呼吸机联合药物治疗急诊慢性阻塞性肺气肿急性发作,可以取得较满意的临床疗效,值得在急诊工作中推广应用。Objective Observe emergency noninvasive ventilator and drugs in the acute exacerbation of chronic obstructive pulmonary emphysema application effect,for the clinical first aid reference.Methods Choose 42 cases with acute exacerbation of chronic obstructive pulmonary emphysema in our hospital in Jan.2010 ~ Dec.2011,promptly noninvasive ventilator and drug treatment.Observed and compared before and after treatment with RR,HR and arterial blood gas analysis results.Results All the patients symptoms were significantly alleviated,without a case of death.Compared with before,after treatment with RR,HR,pH,PaO2,PaCO2,SpO2 were improved,the difference was statistically significant（P0.05）.Conclusion Emergency using noninvasive ventilator combined drug therapy in treating emergency of chronic obstructive emphysema acute attack,can get more satisfactory clinical effect,worthy of popularization and application in emergency department.

关 键 词：急诊 无创呼吸机 药物 慢性阻塞性肺气肿急性发作 

分 类 号：R563.8[医药卫生—呼吸系统]