医学信息
醫學信息
의학신식
MEDICAL INFORMATION
2014年
12期
273-273
,共1页
有创无创序贯机械通气%急性重症心源性肺水肿%疗效
有創無創序貫機械通氣%急性重癥心源性肺水腫%療效
유창무창서관궤계통기%급성중증심원성폐수종%료효
Sequential invasive noninvasive mechanical ventilation%Severe acute cardiogenic pulmonary edema%Curative ef ect
目的探讨有创无创序贯机械通气在治疗急性重症心源性肺水肿中的应用效果及价值。方法将50例急性重症心源性肺水肿随机分为观察组和对照组，对照组采用有创机械通气，观察组采用有创-无创序贯机械通气，以SIMV+PSV方式进行机械通气，双水平气道正压支持并撤机。结果两组患者撤机时的HR、RR、PaO2、PaCO2、SaO2均较有创通气前有改善(<0.05)。观察组的机械通气时间、VAP、死亡率少于对照组，有统计学意义(<0.05)。结论有创无创序贯机械通气治疗急性重症心源性肺水肿疗效满意，能够减少并发症。
目的探討有創無創序貫機械通氣在治療急性重癥心源性肺水腫中的應用效果及價值。方法將50例急性重癥心源性肺水腫隨機分為觀察組和對照組，對照組採用有創機械通氣，觀察組採用有創-無創序貫機械通氣，以SIMV+PSV方式進行機械通氣，雙水平氣道正壓支持併撤機。結果兩組患者撤機時的HR、RR、PaO2、PaCO2、SaO2均較有創通氣前有改善(<0.05)。觀察組的機械通氣時間、VAP、死亡率少于對照組，有統計學意義(<0.05)。結論有創無創序貫機械通氣治療急性重癥心源性肺水腫療效滿意，能夠減少併髮癥。
목적탐토유창무창서관궤계통기재치료급성중증심원성폐수종중적응용효과급개치。방법장50례급성중증심원성폐수종수궤분위관찰조화대조조，대조조채용유창궤계통기，관찰조채용유창-무창서관궤계통기，이SIMV+PSV방식진행궤계통기，쌍수평기도정압지지병철궤。결과량조환자철궤시적HR、RR、PaO2、PaCO2、SaO2균교유창통기전유개선(<0.05)。관찰조적궤계통기시간、VAP、사망솔소우대조조，유통계학의의(<0.05)。결론유창무창서관궤계통기치료급성중증심원성폐수종료효만의，능구감소병발증。
Objective To investigate and non-invasive sequential mechanical ventilation in the treatment of acute severe application effect and value of cardiac pulmonary edema. Methods 50 cases of acute severe cardiac pulmonary edema were randomly divided into observation group and control group, control group adopts invasive mechanical ventilation, observation group by invasive and non-invasive sequential mechanical ventilation, mechanical ventilation, on the basis of SIMV + PSV double level support and positive airway pressure ventilator. Results Two groups patients withdraw machine of HR, RR, PaO2, PaCO2, SaO2 were compared with invasive ventilation before improvement ( <0.05). Observation group of mechanical ventilation time, VAP, and mortality rate is less than the control group, with statistical significance ( <0.05). Conclusion Has a noninvasive sequential mechanical ventilation treatment of acute severe cardiac pulmonary edema curative effect is satisfied, can reduce the complications.
