无创机械通气联合主动脉内球囊反搏对心源性肺水肿的疗效  

Effects of Noninvasive Mechanical Ventilation Combined with Intra-Aortic Balloon Pump （IABP） on Cardiac Pulmonary Edema

作　　者：易小平[1] 徐道妙[1] 

机构地区：[1]中南大学湘雅医院重症医学科,湖南长沙410008

出　　处：《医学临床研究》2016年第2期241-243,共3页Journal of Clinical Research

摘　　要：【目的】研究和分析无创机械通气联合主动脉内球囊反搏（IABP）对心源性肺水肿的治疗效果。【方法】收集心源性肺水肿患者共74例，对其使用无创机械通气联合IABP治疗，观察和对比患者在治疗前和治疗后的各项指标变化。【结果】74例患者中有66 例完成治疗，占89.20%，经治疗2～10 h后患者呼吸频率、心率较治疗前明显减慢，尿量增加, 脉搏血氧饱和度（SpO2）明显增加，平均动脉压上升，B型脑钠肽（BNP）水平下降，且差异均有显著性（P〈0.01）。【结论】无创机械通气联合IABP治疗，可以明显增加心源性肺水肿患者的氧合，改善心功能。【Objective】To study and analyze the treatment effects of IABP on the cardiac pulmonary edema by noninvasive mechanical ventilation.【Methods】A total of 74 patients with cardiac pulmonary edema were treated with noninvasive mechanical ventilation combined with IABP. The indexes of the patients were observed and compared before and after treatment. 【Results】 66 cases of the 74 patients （89.20%） completed treatment. Two to ten hours after treatment with noninvasive mechanical ventilation combined with IABP treatment, the indexes of the patients were compared to the indexes before treatment. The indicators of the 66 patients showed that respiratory rate and heart rate decreased significantly （P〈0.001）, urine volume increased （P〈0.001）, SpO2 increased significantly （P〈0.001）, and B type natriuretic peptide （BNP） decreased （P〈0.01）. 【Conclusion】A combination of noninvasive mechanical ventilation and IABP treatment can significantly increase the oxygenation of patients with pulmonary edema, and improve cardiac function.

关 键 词：呼吸 人工 反搏动术 主动脉内气囊泵 肺水肿 水肿 心源性 

分 类 号：R541.63[医药卫生—心血管疾病]