摘要
目的 :观察无创正压通气治疗慢性阻塞性肺疾病 (COPD)急性发作合并呼吸衰竭的临床效果。方法 :32例COPD患者在常规综合治疗的同时 ,选用BiPAP呼吸机行无创正压通气。在机械通气前 ,机械通气后 1h、4h、2 4h和通气结束时作血气分析 ,并观察临床转归。结果 :与治疗前相比 ,无创正压通气后 1h、4h、2 4h和治疗结束时 ,PH值改善 (P <0 .0 5 ) ,PaO2 上升、PaCO2 下降 (P <0 .0 1 )。 30例患者好转出院 ,2例患者因病情加重 ,改用有创通气后死亡 ,抢救成功率 93.8%。结论 :无创正压通气对COPD急性发作合并呼吸衰竭疗效显著 ,避免了气管插管或气管切开 ,减少了呼吸机相关性肺炎 ,具有良好地应用前景。
Objective: To observe the clinic effect of acute respiratory failure associated with chronic obstructive pulmonary disease(COPD) treated with noninvasive positive pressure ventilation (NPPV). Methods: 32 COPD cases taked BiPAP ventilator in NPPV with the normal treated . Taked hemo-gasometric analysis before, after 1h,4h,24h and at end of treating in machanical ventilation and observed clinic result. Results: Compared with before, after 1h,4h,24h and at end of treating in NPPV late. PH value improved(p<0.05) PaO 2 elevated,PaCO 2 decreased (p<0.01),30 cases discharged better. 2 cases died because the general condition was badly with invasive ventilation ,successful rate was 93.8%. Conclusions:NPPV was a significant effect for acute respiratory failure with COPD avoided the tracheal insertion or tracheotomy decreased ventilator associate pneumonia having an inclusive prosperity.
出处
《河北医学》
CAS
2003年第10期924-926,共3页
Hebei Medicine
关键词
机械通气
肺疾病
阻塞性
呼吸衰竭
Mechanical ventilation
Pulmonary disease, obstructive
Respiratory failure