采用呼气末正压通气治疗神经源性肺水肿64例临床观察

Clinical analysis of positive end-expiratory pressure ventilation itt the treatment of 64 cases with neurogenic pulmonary edema

目的探讨采用呼气末正压（PEEP）通气治疗神经源性肺水肿的疗效。方法对64例神经源性肺水肿患者经过及时采用PEEP通气治疗，观察临床治疗效果。结果采用PEEP通气治疗后所有患者的缺氧症状、肺水肿体征均得迅速改善，与治疗前比较心率。呼吸频率、血氧饱和度、氧分压、二氧化碳分压的改善均具有统计学意义（P〈0．01）。结论采用PEEP通气治疗神经源性肺水肿有较好的临床效果。

Objective To investigate the positive end-expiratory pressure （PEEP） ventilation in the treatment of neurogenic pulmonary edema. Method 64 patients with neurogenic pulmonary edema were treated with the timely use of positive end-expiratory pressure（PEEP） ventilation, Then the curative effect was observed. Result The symptoms of hypoxia,pulmonary edema were had a rapid improvement in ventilation with PEEP. the improvementof heart rate, respiratory rate, oxygen saturation, partial pressure of oxygen, carbon dioxide partial pressure had significant difference compared with that before treatment（ P 〈 0. 01 ）. Conclusion Neurogenie pulmonary edema patients treated with PEEP therapy had goved clinical effect.