Bi-PAP呼吸机在急性左心衰竭治疗中的应用体会

Application of Bi-PAP breath machine in treatment of acute left heart failure

目的:探讨急性左心衰竭抢救中Bi-PAP呼吸机的应用经验。方法:35例经常规治疗不能改善症状及纠正低氧血症的急性左心衰竭患者,给予双水平正压通气(Bi-PAP)治疗,观察患者临床症状、体征及血气方面的变化。结果:35例患者使用Bi-PAP呼吸机后,症状和体征明显改善,心率(HR)、呼吸频率(RR)、收缩压(SBP)、氧分压(PaO2)、二氧化碳分压(PaCO2)及pH较治疗前好转。结论:急性左心衰竭患者尽早使用无创Bi-PAP呼吸机,可改善症状,提高抢救成功率,且使用方便,患者痛苦少。

Objective： To discuss the application of Bi-PAP breath machine in treatment of acute left heart failure.Methods： A total of 35 cases with acute left heart failure whose symptoms and hypoxemia couldn′t be improved by with conventional therapy were selected.Bi-PAP breath machine was used,and clinical symptoms,signs and blood gas changes were observed.Results： All patients had symptoms and signs improved.Their heart rate,respiratory rate,systolic blood pressure,the partial pressure of oxygen,partial pressure of carbon dioxide and pH were improved after treatment.Conclusion： Bi-PAP breath machine can improve symptoms,and increase success rate of rescue.It is convenient,and of less pain.