无创正压通气治疗溺水所致ARDS的疗效分析

目的探讨无创正压通气(NIPPV)治疗溺水所致的急性呼吸窘迫综合征(ARDS)的效果。方法回顾性分析2003年12月～2009年12月通过口鼻面罩无创正压通气(NIPPV)抢救的11例因溺水而并发急性呼吸窘迫综合的患者的临床资料,观察治疗前后的血气分析结果、呼吸频率、心率等的改变,并对结果进行统计分析。结果早期给予NIPPV可以明显改善溺水导致的ARDS患者的临床状况及监测指标。结论早期无创正压通气是治疗溺水后急性呼吸窘迫综合征的有效方法之一。

Objective To analyze the effect of noninvasive positive pressure ventilation（NIPPV） in the patients with acute respiratory distress syndrome resulted from drowning.Methods A retrospective analysis was used to analyze the clinical data of 11 cases with acute respiratory distress syndrome resulted from drowning treated in our hospital during December 2003 and December 2009 through the nose and mouth mask noninvasive positive pressure ventilation（NPPV） the blood gas analysis respiratory rate heart rate changes were observed before and after treatment and for statistical analysis.Results NIPPV can improve clinical symptom and monitoring indicators in patients with ARDS resulted from drowning.Conclusion Noninvasive positive pressure ventilation is an effective method in the treatment of drowning combined with acute respiratory distress syndrome.