以BiPAP模式的呼吸支持促进危重创伤病人彻底复苏—附50例临床分析

目的 尽快纠正然重创伤病人早期低氧血症，避免病情进步恶化，减少并发平，提高治愈率，方法 ５０例危重创伤病人随机分为二组，其中２１例应用ＢｉＰＡＰ呼吸机，２９例用鼻导管供氧二组病人入病房后即刻进行血气分析。治疗二天后复查血气，然后对二组ＰａＯ２及氧合指数结果分别预以对比。结果 ＢｉＰＡＰ组治疗后ＰａＯ２从平均９．３ＫＰａ上升至１３ＫＰａ，氧合指数从平均２２４上升至３０３（Ｐ〈０．０１），而对照组治疗

To promote the thorough resuscitation of severely injured patients by using BiPAP respirator-a clinical analyses of 50 cases

Objective To correct the early hypoxemia of severely injured patient, prevent the condition to be worsened, and reduce the complication. Methods The 50 cases of severely injured patients were randomly devided into 2 groups. The BiPAP respirator group included 21 cases,the nose-cannula group 29 cases. Each patient from both groups was examined blood-gas immediately following admission, and re-examined 2 therapeutic days later. The PaO2 value and oxygenated index of the two groups were contrasted. Results The average PaO2 and oxygenated index of BiPAP group increased from 9. 3kPa,224 to 13kPa,303,after com-pared with each other both were very significant (P < 0. 01). Whereas the average PaO2 and oxygenated index of the control group were 11. 3kPa, 288 and 11. 4kPa, 277, after therapy both were insignificant (P>0. 05). Conclusion 1 - 3 days of mechanical assistant ventilation should be given to severely injured patients who suffered early hypoxemia. The excessive oxygen supply could effetively restore the insufficient physiologic orygen and reimburse orygen debt. It is a powerful procedure for the severely injured patients in the initial resuscitation,and obviously superior to the nose-cannula route.