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无创呼吸机在急性左心衰竭治疗中的疗效评价
引用本文:张昌红,刘雪梅,魏萍. 无创呼吸机在急性左心衰竭治疗中的疗效评价[J]. 临床肺科杂志, 2012, 17(1): 45-46
作者姓名:张昌红  刘雪梅  魏萍
作者单位:首都医科大学石景山教学医院 北京市石景山医院呼吸科,北京,100043
摘    要:目的观察急性左心衰竭患者经无创正压通气治疗的临床方法。方法选取52例急性左心衰竭患者分成两组,对照组24例,仅给予常规药物治疗,治疗组28例,除给予常规药物治疗外给予正压通气治疗,观察治疗前后临床症状、体征的变化。结果治疗组中临床症状、体征和临床指标的改善明显优于对照组。结论无创BIPAP可明显改善低氧血症和提高抢救成功率。

关 键 词:急性左心衰竭  无创呼吸机  双水平正压通气

Observation of clinical therapeutic effect of noninvasive positive pressure ventilation in the treatment of acute left ventrical heart failure
ZHANG Chang-hong,LIU Xu-mei,WEI Pin. Observation of clinical therapeutic effect of noninvasive positive pressure ventilation in the treatment of acute left ventrical heart failure[J]. Journal of Clinical Pulmonary Medicine, 2012, 17(1): 45-46
Authors:ZHANG Chang-hong  LIU Xu-mei  WEI Pin
Affiliation:ZHANG Chang-hong,LIU Xu-mei,WEI Pin
Abstract:Objective To observe the clinical therapeutic effect of using noninvasive positive pressure ventilation for cases with acute left ventrical heart failure.Methods 52 patients with acute left ventrical heart failure were divided into 2 groups: the comparison group with conventional therapy,the treat group with bi-level positive airway pressure(BiPAP).The Clinical symptom and physical signs before and after treatment were observed,including artery pH,PaO2,PaCO2,HR,RR,MAP and SaO2 of blood gas analysis.Results In the treatment group,clinical symptom,physical signs improved,as well as the artery pH,PaO2,PaCO2,HR,RR,MAP and SaO2 of blood gas analysis.Conclusion Noninvasive BiPAP can improve hypoxemia and achievement ratio of rescuing.
Keywords:acute left ventrical heart failure  noninvasive positive pressure ventilation  bi-level positive airway pressure
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