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采用呼气末正压通气治疗神经源性肺水肿64例临床观察
引用本文:黄跃清,叶少波,王芳,叶敏球.采用呼气末正压通气治疗神经源性肺水肿64例临床观察[J].中国基层医药,2010,17(8):1029-1030.
作者姓名:黄跃清  叶少波  王芳  叶敏球
作者单位:佛山市三水区人民医院ICU,广东省佛山,528100
摘    要:目的探讨采用呼气末正压(PEEP)通气治疗神经源性肺水肿的疗效。方法对64例神经源性肺水肿患者经过及时采用PEEP通气治疗,观察临床治疗效果。结果采用PEEP通气治疗后所有患者的缺氧症状、肺水肿体征均得迅速改善,与治疗前比较心率。呼吸频率、血氧饱和度、氧分压、二氧化碳分压的改善均具有统计学意义(P〈0.01)。结论采用PEEP通气治疗神经源性肺水肿有较好的临床效果。

关 键 词:肺水肿  连续气道正压通气  通气机,机械

Clinical analysis of positive end-expiratory pressure ventilation in the treatment of 64 cases with neurogenic pulmonary edema
HUANG Yue-qing,YE Shao-bo,WANG Fang,YE Min-qiu.Clinical analysis of positive end-expiratory pressure ventilation in the treatment of 64 cases with neurogenic pulmonary edema[J].Chinese Journal of Primary Medicine and Pharmacy,2010,17(8):1029-1030.
Authors:HUANG Yue-qing  YE Shao-bo  WANG Fang  YE Min-qiu
Institution:( Department of Intensive Care Unit, The People & Hospital of Sanshui District, Foshan , Guangdong 528100, China)
Abstract:Objective To investigate the positive end-expiratory pressure (PEEP) ventilation in the treatment of neurogenic pulmonary edema. Method 64 patients with neurogenic pulmonary edema were treated with the timely use of positive end-expiratory pressure(PEEP) ventilation. Then the curative effect was observed. Result The symptoms of hypoxia, pulmonary edema were had a rapid improvement in ventilation with PEEP. the improvementof heart rate, respiratory rate, oxygen saturation, partial pressure of oxygen, carbon dioxide partial pressure had significant difference compared with that before treatment(P < 0.01). Conclusion Neurogenic pulmonary edema patients treated with PEEP therapy had goved clinical effect.
Keywords:Pulmonary edema  Continuous positive airway pressure  Ventilators  mechanical
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