无创-有创-无创序贯性机械通气在急性左心衰竭的临床应用疗效 |
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引用本文: | 刘明伟,王忠平,郝丽,卢爽.无创-有创-无创序贯性机械通气在急性左心衰竭的临床应用疗效[J].临床肺科杂志,2010,15(11):1599-1601. |
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作者姓名: | 刘明伟 王忠平 郝丽 卢爽 |
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作者单位: | 1. 昆明,昆明市延安医院呼吸二科,云南,650021 2. 昆明,昆明市延安医院急诊科,云南,650021 |
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摘 要: | 目的评价无创-有创-无创序贯机械通气对急性左心衰的治疗价值。方法选择80例患者,随机分为无创-有创-无创序贯机械通气治疗组50例和有创机械通气(IPPV)组30例,动态观察两组患者呼吸机相关肺炎(VAP)发生率、机械通气时间、住院时间等情况。结果无创-有创-无创序贯机械通气治疗急性左心衰,呼吸机相关性肺炎(VAP)发生率、机械通气时间、住院时间明显低于对照组(P〈0.05)。结论无创-有创-无创序贯机械通气治疗急性左心衰可降低呼吸机相关性肺炎(VAP)发生率及机械通气时间、住院时间。
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关 键 词: | 机械通气 急性左心衰竭 血气分析 |
The Effect of Mechanical Ventilation Therapy on Acute Left Heart Failure |
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Institution: | LIU Ming-wei,WANG Zhong-ping,HAO Li,et al. The Second Department of Respiratory Medicine,Affiliated Yan an Hospital of Kunming Medical College 650051,China |
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Abstract: | Objective To evaluate the possibility and the clinic value of the sequential mechanical ventilation therapy on acute left heart failure.Methods Methods:80 patients with intermediate syndrome were included in the study.of them,50 were randomly allocated to receive sequential mechanical ventilation,and the other 30 received invasive positive pressure ventilation(IPPV).And ventilator-associated pneumonia(VAP),mechanical ventilation duration,the length of hospitalization,were measured.Results There were significant difierenees in invasive ventilation time,the total duration of mechanical ventilation,ventilator-associated pneumonia(VAP),the length of hospitalization between sequential treatment group and the control group(P0.05).Condusion invasive-noninvasive ventilation is effective treatment for acute left heart failure,it can significantly shorten the time of invasive ventilation,the length of hospitalization and reduce the incidence of VAP. |
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Keywords: | mechanical ventilation acute left heart failure blood gas analysis |
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