无创正压通气治疗急性重症胰腺炎并发ARDS的护理

目的:探讨急性重症胰腺炎并发ALT/ARDS采用NIPPV治疗的效果及护理方法.方法:回顾性分析2000年1月～2004年6月我院中心ICU收治的52例急性重症胰腺炎,32例并发ALT/ARDS,其中29例行NIPPV、3例气管插管有创通气治疗).结果:32例并发ALT/ARDS,29例行NIPPV治疗者25例成功,4例改为气管插管有创机械通气,死亡3例.结论:急性重症胰腺炎并发ALT/ARDS采用NIPPV治疗,具有更多的优点:患者痛苦少,保留了患者上呼吸道的防御功能,避免了呼吸机相关性肺炎的反复发生,住院费用减少,住院天数缩短.配合综合治疗,提高了急性重症胰腺炎的抢救成功率.

Nursing of NIPPV therapy for severe acute pancreatitis with ARDS

Objective:To explore the effect and the nursing methods of NIPPV(noninvasive positive pressure ventilation) therapy in severe acute pancreatitis complicated with ALI(acute lung injury)/ARDS (acute respiratory distress syndrome).Methods:52 patients with acute critical pancreatitis in our centual ICU from (January,2000 to June,2004)were analyzed.Among them,32 patients with ALI/ARDS,in which 29 patierts were treated by NIPPV and 3 patients were treated by IPPV.Results:Among 29 patients treated with NIPPV,25 patients were cured and 4 patients were further treated with IPPV,among them 3 patients died.Conclusion:There are following advantages for SAP patients complicating with ALI/ARDS treated by NIPPV:less suffering,maintenance of normal function of upper respiratory tract and reduction in the rate of lung infection.Furthermore it also shortens the time of hospitalization and saves money for patients,while increased cure rate combined with comprehensive therapy.