CAJ | 학술논문

目的评价BiPAP无创机械通气治疗急性心源性肺水肿病例的临床价值.方法将兴宁市人民医院2008年10月-2010年5月收治的急性心源性肺水肿患者45例随机分为两组,对照组21例常规药物治疗,治疗组24例在常规药物治疗的基础上,应用BiPAP呼吸机面作者单位:514500 兴宁市人民医院心血管内科罩辅助通气,观察其前后症状、体征及动脉血气分析结果.结果治疗组患者1h后呼吸、心率明显减慢SpO2、PaO2均明显改善,SBP和pH恢复正常,临床症状体征明显改善,与对照组比较差异有显著性(P＜0.05).结论无创机械通气治疗急性心源性肺水肿安全有效能迅速纠正缺氧、改善心功能,值得临床推广.
목적 평개BiPAP무창궤계통기치료급성심원성폐수종병례적림상개치.방법 장흥저시인민의원2008년10월-2010년5월수치적급성심원성폐수종환자45례수궤분위량조,대조조21례상규약물치료,치료조24례재상규약물치료적기출상,응용BiPAP호흡궤면작자단위:514500 흥저시인민의원심혈관내과조보조통기,관찰기전후증상、체정급동맥혈기분석결과.결과 치료조환자1h후호흡、심솔명현감만SpO2、PaO2균명현개선,SBP화pH회복정상,림상증상체정명현개선,여대조조비교차이유현저성(P＜0.05).결론 무창궤계통기치료급성심원성폐수종안전유효능신속규정결양、개선심공능,치득림상추엄.
Objective To asses the efficacy of noninvasive nasal mask bi-level positive airway pressure (BiPAP) ventilation in acute cardiogenic pulmonary edema Methods 45patients with acute cardiogenic pulmonary edema hospitalized from October 2008 to May 2010 were randonly assigned to receive conventional medical treatment (21 patients,control group) or noninvasive nasal mask bi-level positive airway pressure (BiPAP) ventilation in addition to the conventional therapy (24 patients,study group). The symptoms,signs,and the findings of blood gas analysis were noted. Results One hour after therapy,HR,RR,SpO2.and PaO2 were improved significantly in the study group; SBP and PH were returned to normal; the symptoms and signs were improved,with significant differences as compared with the control group. (P＜0.05). Conclusions Noninvasive ventilation is a safe,effective method in the treatment of acute cardiogenic pulmonary edema with acute respiratory failure. It improves cardiac function and is worth popularizing.