| 无创正压通气对重症急性胰腺炎合并ALI／ARDS的治疗价值 |
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| 引用本文： | 张海瑛,臧泽林,雷霆,张应宏,尚娟.无创正压通气对重症急性胰腺炎合并ALI／ARDS的治疗价值[J].西部医学,2010,22(4):644-645. |
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| 作者姓名： | 张海瑛 臧泽林 雷霆 张应宏 尚娟 |
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| 作者单位： | 川北医学院第二临床医学院南充市中心医院ICU,中川,南充,637000 |
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| 摘 要： | 目的评价无创正压通气（NPPV）治疗重症急性胰腺炎合并ALI／ARDS的价值。方法选择在本院ICU住院的重症急性胰腺炎合并ALI／ARDS患者74例，将进行面罩NPPV者作为治疗组，未进行NPPV治疗者作为对照组，观察各组治疗前及治疗3d后血气分析结果、住院时间、住院费用、插管率、病死率。结果重症急性胰腺炎合并ALI／ARDS患者使用NPPV治疗后其动脉血气分压（PaO2）均有不同程序升高，治疗组与对照组PH值PaO2比较差异均有统计学意义（均P〈0．05）。治疗组住院时间、住院费用较对照组明显减少，插管率、病死率均较对照组明显降低（P均〈0．05）。结论NPPV对重症急性胰腺炎合并ALI／ARDS患者有益。
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| 关 键 词： | 重症急性胰腺炎 急性肺损伤 急性呼吸窘迫综合症 无创正压通气 |
Noninvasive positive pressure ventilation for treatment of severe acute pancreatitis with ALI/ARDS |
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| ZHANG Hai-ying,ZANG Ze-lin,LEI ting,et al.Noninvasive positive pressure ventilation for treatment of severe acute pancreatitis with ALI/ARDS[J].Medical Journal of West China,2010,22(4):644-645. |
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| Authors: | ZHANG Hai-ying ZANG Ze-lin LEI ting |
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| Institution: | ZHANG Hai-ying,ZANG Ze-lin,LEI ting,et al(Department of ICU,The Central Hospital of Nanchong,Nanchong 637000,Sichuan) |
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| Abstract: | Objective To study the value of noninvasive positive pressure ventilation(NPPV) in the treatment of severe acute pancreatitis complicating ALI/ARDS.Methods 74 patients with severe acute pancreatitis with ALI/ARDS were divided to treatment group with NPPV and control group.The blood gas analysis,length of stay,cost of hospitalization,rate of spile and case fatality between pretherapy and 3 days after therapy were observed.Results PaO2 in treatment group improved after NPPV(P<0.05).Length of stay,cost of hosp... |
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| Keywords: | Severe acute pancreatitis Acute lung injury Acute respiratory distress syndrome Noninvasive positive pressure ventilation |
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