血播性肺结核并急性呼吸窘迫无创正压通气临床应用研究

Study of clinical application of non-invasive positive pressure ventilation in blood borne disseminated pulmonary tuberculosis complicated with respiratory distress

目的探讨肺结核并呼吸窘迫无创正压通气的临床应用。方法对我院2005年以来血播性肺结核并急性呼吸窘迫无创正压通气11例进行回顾分析。结果10例血播性肺结核并急性呼吸窘迫患者应用NIPPV治疗取得了满意疗效。结论血播性肺结核并急性呼吸窘迫可行无创正压通气代替有创机械通气。

Objective To evaluate the clinical application of non-invasive positive pressure ventilation in blood borne dissemina ted puhnonary tuberculosis complicated with respiratory distress. Methods The data were analyzed retrospectively on 11 cases of patients with blood borne disseminated pulmonary tuberculosis complicated with acute respiratory distress（ARDS） using noninvasive positive pressure ventilation. Results 10 cases of blood borne disseminated pulmonary tuberculosis with ARDS obtained satisfactory therapeutic efficacy of NIPPV. Conclusion The blood borne disseminated pulmonary tuberculosis with ARDS can use non - invasive positive pressure ventilation instead of invasive mechanical ventilation for reducing the complications brought by invasive mechanical ventilalion.