| 双水平气道正压通气治疗急性左心衰竭临床研究 |
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| 引用本文： | 王永,魏庆娟,李兰香. 双水平气道正压通气治疗急性左心衰竭临床研究[J]. 临床肺科杂志, 2009, 14(9): 1148-1150 |
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| 作者姓名： | 王永 魏庆娟 李兰香 |
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| 作者单位： | 1. 江苏省新沂市铁路医院呼吸科,221400
2. 江苏省徐州市第六人民医院呼吸科,221006 |
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| 摘 要： | 目的探讨经面罩双水平气道正压通气（bi-level positive airway pressure，BiPAP）呼吸机治疗慢急性左心衰竭（acute left heart failure，ALHF）的疗效。方法64例ALHF患者随机分为治疗组和对照组，两组均给予强心、镇静、利尿、血管扩张药、解痉平喘等常规治疗，对照组加低浓度氧疗，治疗组加面罩BiPAP呼吸机治疗。观察临床症状、体征、血气分析、漏气情况及不良反应。采用SPSS13．0统计软件进行数据处理，计量资料采用t检验，计数资料采用χ^2检验，以P〈0．05为差异有统计学意义。结果治疗组与对照组相比，治疗后心率、呼吸频率、动脉血CO2分压均明显下降，住院天数缩短，动脉血氧分压、动脉血氧饱和度明显上升，差异均具有统计学意义（P〈0．01）。治疗组总有效率96．9％（31／32）与对照组75．0％（24／32）相比差异有统计学意义（P〈0．05）。结论急性左心衰竭患者早期使用BiPAP呼吸机治疗，对低氧血症和CO2潴留改善明显，疗效显著。
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| 关 键 词： | 无创通气 双水平气道正压通气 急性左心衰竭 |
Clinical study of bi-level positive airway pressure ventilation on acute left heart failure |
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| WANG Yong,WEI Qing-Jian,LI Lan-xiang. Clinical study of bi-level positive airway pressure ventilation on acute left heart failure[J]. Journal of Clinical Pulmonary Medicine, 2009, 14(9): 1148-1150 |
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| Authors: | WANG Yong WEI Qing-Jian LI Lan-xiang |
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| Affiliation: | WANG Yong1,WEI Qing-Jian2,LI Lan-xiang1.1Respiratory Medicine Department,Xinyi Railroad Hospital,Xinyi221400,China,2Respiratory Medicine Department,the Sixth Hospital of Xuzhou City,Jiangsu Province,Xuzhou221006 |
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| Abstract: | Objective To discuss the curative effect of face mask bi-level positive airway pressure(BiPAP)ventilator to treat acute left heart failure.Methods64 cases of ALHF were randomly divided into comparison group and treatment group.The two groups were both given the conventional treatment such as cardiac,sedation,diuretics,the vasodilatation medicine,antispasmodic and antiasthmatic.The comparison group was,in addition added the low concentration oxygen treatment,and the treatment group received face mask BiPAP v... |
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| Keywords: | noninvasive ventilation bi-level positive airway pressure acute left heart failure |
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