CAJ | 학술논문

目的探讨经鼻(面)罩双水平气道正压通气(BiPAP)治疗急性高原肺水肿伴低氧性呼吸衰竭的临床疗效.方法急性高原肺水肿伴低氧性呼吸衰竭患者35例,在一般治疗的基础上联合BiPAP无创呼吸机治疗,观察住院期间的疗效,应用BiPAP前后患者心率、呼吸频率、血气分析、氧合指数(PaO2/FiO2)的变化情况.结果经鼻(面)罩BiPAP的成功率为91.43%.治疗后pH值较治疗前显著改善(P＜0.05),且治疗前后心率、呼吸频率、Pa()2/FiO2差异有统计学意义(P＜0.01).结论经鼻(面)罩BiPAP治疗急性高原肺水肿伴低氧性呼吸衰竭临床疗效确切.
목적 탐토경비(면)조쌍수평기도정압통기(BiPAP)치료급성고원폐수종반저양성호흡쇠갈적림상료효.방법 급성고원폐수종반저양성호흡쇠갈환자35례,재일반치료적기출상연합BiPAP무창호흡궤치료,관찰주원기간적료효,응용BiPAP전후환자심솔、호흡빈솔、혈기분석、양합지수(PaO2/FiO2)적변화정황.결과 경비(면)조BiPAP적성공솔위91.43%.치료후pH치교치료전현저개선(P＜0.05),차치료전후심솔、호흡빈솔、Pa()2/FiO2차이유통계학의의(P＜0.01).결론 경비(면)조BiPAP치료급성고원폐수종반저양성호흡쇠갈림상료효학절.
Objective To investigate the clinical effect of the facemask bilevel positive airway pressure (BiPAP) assisted ventilation on acute high altitude pulmonary edema (HAPE) with hypoxemic respiratory failure. Methods A total of 35 patients who had been diagnosed as acute HAPE with hypoxemic respiratory failure,were both given facemask BiPAP assisted ventilation and routine therapy.The measures of heart rate, respiratory rate,arterial blood gas analysis and oxygenation index (PaO2/FiO2) were observed before and after treatment. Results The achievement ratio of BiPAP assisted ventilation is 91.43% (32/35). The pH of arterial blood gas analysis after treatment was markedly higher than those before treatment ( P ＜0.05). There were significant differences in the heart rate, respiratory rate,and PaO2/FiO2 before and after treatment ( P ＜0.01). Conclusions Facemask BiPAP assisted ventilation is safe and effective in the treatment of acute HAPE with hypoxemic respiratory failure.