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无创通气治疗慢性阻塞性肺疾病35例
引用本文:吴迪,傅应云,蒋科威,陈升汶.无创通气治疗慢性阻塞性肺疾病35例[J].国际医药卫生导报,2005,0(15):29-31.
作者姓名:吴迪  傅应云  蒋科威  陈升汶
作者单位:暨南大学第二临床医学院,深圳市人民医院呼吸内科,广东,深圳,518020;暨南大学第二临床医学院,深圳市人民医院老年病科,广东,深圳,518020
摘    要:目的 观察BiPAP呼吸机治疗慢性阻塞性肺疾病(COPD)的疗效。方法 对35例COPD患者进行双水平(BiPAP)呼吸机治疗,观察治疗前后血气及症状体征的变化。结果 治疗后31例患者PaO2、SaO2、pH升高,R、HR、PaCO2、HCO3下降,患者症状改善。4例病人治疗无效改为有创通气。结论 无创通气对大部分COPD合并呼吸衰竭的病人有效,但需选择合适的适应症,必要时及时改用有创通气。

关 键 词:慢性阻塞性肺疾病  无创通气
文章编号:1007-1245(2005)15-0029-03

Application Noninvasive Ventilation to Treatment 35 Cases of COPD
Wu Di;Fu YingYun;Jiang KeWei;Chen ShengMen.Application Noninvasive Ventilation to Treatment 35 Cases of COPD[J].International Medicine & Health Guidance News,2005,0(15):29-31.
Authors:Wu Di;Fu YingYun;Jiang KeWei;Chen ShengMen
Abstract:Objective To evaluate the application of noninvasive ventilation to treat COPD patients. Methods 35 cases of COPD were selected through blood-gas analysis as the subjects.Besides standard treatments the subjects were treated with noninvasive ventilation.At the same time,the values of breath rate,plama pH,PaO2,PaCO2,HCO3 were tested before and after noninvasive ventilation.Results All the indexes of the blood-gas changed remarkably after performing noninvasive ventilation treatment. Conclusion Noninvasive ventilation treatment is definitely valuable for COPD patients respiratory failure.But if the patient's condition fails to improved,intabution and mechnical ventilation is indicated.
Keywords:Noninvasive Ventilation COPD
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