临床医学
臨床醫學
림상의학
CLINICAL MEDICINE
2014年
9期
5-6
,共2页
肺水肿%心源性%无创正压通气
肺水腫%心源性%無創正壓通氣
폐수종%심원성%무창정압통기
Pulmonary edema%Cardiac%Noninvasive positive pressure ventilation
目的：观察无创正压通气（ NPPV）治疗急性心源性肺水肿的临床疗效。方法对48例急性心源性肺水肿引起的急性呼吸衰竭患者行NPPV，观察治疗期间心率和经皮血氧饱和度的变化，比较治疗前及治疗后2 h血气情况。结果急性心源性肺水肿患者治疗后2h缺氧症状得到明显改善，心悸、呼吸困难及紫绀明显好转，心功能评级明显降低（P﹤0.01）。结论对急性心源性肺水肿引起的急性呼吸衰竭行NPPV疗效显著，具有良好的临床实用价值，值得推广。
目的：觀察無創正壓通氣（ NPPV）治療急性心源性肺水腫的臨床療效。方法對48例急性心源性肺水腫引起的急性呼吸衰竭患者行NPPV，觀察治療期間心率和經皮血氧飽和度的變化，比較治療前及治療後2 h血氣情況。結果急性心源性肺水腫患者治療後2h缺氧癥狀得到明顯改善，心悸、呼吸睏難及紫紺明顯好轉，心功能評級明顯降低（P﹤0.01）。結論對急性心源性肺水腫引起的急性呼吸衰竭行NPPV療效顯著，具有良好的臨床實用價值，值得推廣。
목적：관찰무창정압통기（ NPPV）치료급성심원성폐수종적림상료효。방법대48례급성심원성폐수종인기적급성호흡쇠갈환자행NPPV，관찰치료기간심솔화경피혈양포화도적변화，비교치료전급치료후2 h혈기정황。결과급성심원성폐수종환자치료후2h결양증상득도명현개선，심계、호흡곤난급자감명현호전，심공능평급명현강저（P﹤0.01）。결론대급성심원성폐수종인기적급성호흡쇠갈행NPPV료효현저，구유량호적림상실용개치，치득추엄。
Objective To observe the clinical effect of noninvasive positive pressure ventilation( NPPV)on acute cardiogenic pulmonary edema. Methods Forty-eight patients with acute respiratory failure due to acute cardiogenic pulmonary edema were treated by NPPV. The variation of heart rate and percutaneous oxygen saturation were observed. The blood gas analysis was com-pared before treatment and 2 hours after treatment. Results The symptoms of the patients were significantly alleviated including hypoxia,heart palpitations,breathing difficulties and cyanosis,and the NYHA decreased significantly( P﹤0. 01 ). Conclusion NPPV has therapeutic advantages and significant effect in the treatment of acute respiratory failure due to acute cardiogenic pul-monary edema. It is of certain clinical value and is worth popularizing.
