摘要
①目的分析B型钠尿肽(B-type natriuretic peptide BNP)对肺水肿呼吸衰竭性低氧血症病因诊断的临床意义。②方法回顾分析我院ICU71例患者BNP、心脏超声、胸部X线片、动脉血气分析及CVP等检测资料,根据患者临床特征进行诊断后分为心源性肺水肿呼吸衰竭性低氧血症组(CPE)、非心源性肺水肿呼吸衰竭性低氧血症组(ALI/ARDS),分析BNP的病因诊断中的意义。③结果 CPE组31例BNP均数为(1362±402)pg/mL;ALI/ARDS组40例BNP均数为(315±132)pg/mL;两组比较差异有统计学意义(P<0.001)。④结论 BNP在心源性及非心源性肺水肿性呼吸衰竭低氧血症的病因诊断有较好的价值。
Objective To analyze the role of B-type natriuretic peptide in subjects admitted to the ICU with hypoxic respiratory failure due to noncardiogenic and cardiogenic pulmonary edema.Methods Review 71 patients with acute hypoxic respiratory failure due to noncardiogenic and cardiogenic pulmonary edema were measured BNP、chest radiography、echocardiography and blood gas analysis.Two intensivists independently reviewed the records to determine the final diagnosis and divided into groups.Results The average concentrations of BNP of CPE group（31 patients）and ALI/ARDS group（40 patients） are respectively（1362±402）pg/mL and（315±132）pg/mL;There is notable statistical difference between the two groups（P0.001）.Conclusion Rapid BNP assay can be used in patients with hypoxic respiratory failure due to noncardiogenic and cardiogenic pulmonary edema.
出处
《华北煤炭医学院学报》
2011年第2期149-150,共2页
Journal of North China Coal Medical College
