无创呼吸机在产科危重病人综合救治中的使用分析

Use Analysis of BiPAP Vision Noninvasive Positive Pressure Ventilator for Patients with Critical Illness in Obstetric Department

目的探讨BiPAP Vision无创呼吸机的特点及在产科危重病人综合救治中的使用分析。方法回顾性分析42例使用BiPAP Vision无创呼吸机的产科危重病人的救治流程和效果。结果42例患者全部脱机成功,15例无创正压通气(NPPV)24h内成功脱机,占35.71%(15/42),27例NPPV时间超过24h,占64.29%(27/42)。NPPV4h呼吸频率下降、PO2/FiO2上升(P<0.05)。无转为有创机械通气者,亦无发生NPPV相关并发症者。结论BiPAP Vision无创呼吸机因其具有流速大、漏气补偿完备、氧流量控制精确和通气模式多样等优势,在产科危重病人综合救治中提供了有效的呼吸支持,保障了病人的成功救治。注意定期对呼吸机进行维护和使用中根据病情调整呼吸模式是安全、有效使用该设备的关键。

Objective To investigate the characteristic on BiPAP Vision noninvasive positive pressure ventilator used for patients with critical illness in obstetric department. Methods A retrospective analysis was carried on 42 obstetrics patients with critical illness who were treated with BiPAP Vision noninvasive positive pressure ventilator. Results All 42 cases were off-line successfully. 15 cases were off-line with NPPV after 24h （35.71% （15/42） ）, 27 cases were off-line with NPPV beyond 24h （64.29% （27/42） ）.The...