无创正压通气治疗急性心源性肺水肿临床分析

Noninvasive positive pressure ventilation in treatment of acute cardiogenic pulmonary edema

目的:观察无创正压通气(noninvasive positive pressure ventilation,NPPV)治疗急性心源性肺水肿的疗效。方法:对26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、治疗后2 h血气情况。结果:急性心源性肺水肿患者治疗2 h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。

Objective：To observe the curative effect of noninvasive positive pressure ventilation（NPPV）in treatment of acute cardiogenic pulmonary edema.Methods：Twenty-six 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 compared 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.Conclusions：NPPV has therapeutic advantages and significant effect in treatment of acute respiratory failure due to acute cardiogenic pulmonary edema.