高频喷射通气对危重型高原肺水肿的治疗作用

Treatment to Serious High Altitude Pulmomary Edema with High Frequency Jet Ventilation

目的观察高频喷射通气（ＨＦＪＶ）治疗危重型高原肺水肿的效果。方法应用高频喷射通气治疗高原危重型肺水肿１３９例，以鼻导管吸氧６８例为对照组。分别于吸氧及ＨＦＪＶ前和通气１小时、４小时、８小时测定股动脉血气，同时进行治疗前后的疗效比较。结果高频给氧组在发绀、呼吸困难、血性泡沫痰几项指标均优于鼻导管给氧组（Ｐ＜０．０１），高频给氧组治疗后ＰａＯ２呈显著上升趋势，与鼻导管给氧组比较有非常显著性差异（Ｐ＜０．０１）。结论ＨＦＪＶ是抢救高原危重型肺水肿最有效的方法。

Objeetive To treat serious high altitude pulmonary edema (HAPE) with high Frequency Jet Ventilation (HFJV). Method Treat 139 cases of serious HFPE with HFJV,in comparison with the group of 68 nosepipe oxygenabsorbed cases.Then separately measured femoral arterial blood and vigour after absorbing oxygen before HFJV,and after venliation for one hour,four hours,eight hours.At the same time,compared the theraputic effect of these groups. Results The targets of the HFJV group were obviously prior to the contrast groups,in some respects of cyanosis,breath,hemosputum (P<001),PaO2 in the HFJV was clearly going up(P<001). ConclusionZHFJV is an efficient way to save serious HAPE patients.