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无创通气治疗化学气体中毒性肺水肿的疗效观察
引用本文:占凌峰.无创通气治疗化学气体中毒性肺水肿的疗效观察[J].浙江中医药大学学报,2011,35(1):26-27,19.
作者姓名:占凌峰
作者单位:浙江省衢化医院,衢州,324000
摘    要:目的]探讨无创性鼻(面)罩双水平气道正压通气(BiPAP)治疗化学气体中毒性肺水肿的疗效。方法]对48例化学气体中毒导致肺水肿的患者随机分为两组,治疗组(23例)予以无创性鼻(面)罩双水平气道正压通气(BiPAP)联合甲强龙治疗,对照组(25例)予以常规面罩吸氧联合甲强龙治疗。观察通气前后呼吸频率(RR)、心率(HR)、氧分压(PaO2)及二氧化碳(PaCO2)、胸部CT变化及临床症状的改善情况。结果]治疗组呼吸频率(RR)、心率(HR)、氧分压(PaO2)胸部CT变化及临床症状的改善明显优于对照组(P<0.05)结论]无创性鼻(面)罩双水平气道正压通气(BiPAP)治疗化学气体中毒性肺水肿疗效满意。

关 键 词:无创通气  化学气体  中毒性肺水肿

Noninvasive Ventilation in the Treatment of Toxic Chemical Gas Efficacy of Pulmonary Edema
Zhan Lingfeng.Noninvasive Ventilation in the Treatment of Toxic Chemical Gas Efficacy of Pulmonary Edema[J].Journal of Zhejiang University of Traditional Chinese Medicine,2011,35(1):26-27,19.
Authors:Zhan Lingfeng
Institution:Zhan Lingfeng Department of ICU,the Hospital of Quhua,Quzhou(324004),China1
Abstract:Objective]To explore the effect of noninvasive nasal(facial) mask bi-level positive airway pressure ventilation(BiPAP) treatment of toxic chemical gases pulmonary edema.Methods] 48 chemical gas poisoning causes pulmonary edema patients were randomly divided into treatment groups(n=23)and the control group(n=25).Patients in treatment groups had non-invasive nasal(facial) mask bi-level positive airway pressure ventilation(BiPAP) combined with methylprednisolone treatment,patients in control groups were give...
Keywords:noninvasive ventilation  chemical gas  toxic pulmonary edema  
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