无创双水平正压通气治疗严重急性左心衰的疗效观察

中国医师进修杂志 Pub Date : 2001-05-15 DOI:10.3760/CMA.J.ISSN.1673-4904.2001.05.011

Mao Yao-sheng, You Rong-kai

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摘要

目的观察无创双水平正压通气治疗严重急性左心衰的疗效。方法对16例常规治疗无反应的严重急性心力衰竭低氧血症患者进行无创双水平正压通气，监测临床症状、体征、创伤动脉血压、血气分析。结果存活16例，死亡1例，成功率93.7%。治疗2小时后，患者生命体征稳定，PaO 2、SaO 2升高。结论无创双水平正压通气可通过调节压力支持和呼吸末正压，减少肺间质和肺泡水肿，改善左心功能。它还能提高V/Q率，促进气体交换，促进PaO 2和SaO 2。

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OBSERVATION OF NONINVASIVE BI-LEVEL POSITIVE PRESSURE VENTILATION FOR THE TREATMENT OF SEVERE ACUTE LEFT HEART FAILURE

Objective\ To observe noninvasive bi-level positive pressure ventilation for the treatment of severe acute left heart failure.Methods\ 16 patients with hypoxemia due to severe acute heart failure with non-reaction to the normal treatment received noninvasive bi-level positive pressure ventilation and were monitored under clinical symptoms,signs,traumatic arterial blood pressure and blood gas analysis.Results\ 16 patients survived and 1 died with success rate of 93.7%.After two-hour therapy,the patients vital signs were stable and PaO 2 and SaO 2 went up.Conclusion\ Noninvasive bi-level positive pressure ventilation can decrease the pulmonary interstitial and alveolar edema,improve left heart function through adjusting pressure support and end-respiratory positive pressure.It also improve the rate of V/Q,facilitate gas exchange,and promote PaO 2 and SaO 2.

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中国医师进修杂志

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26239

期刊介绍： Chinese Journal of Postgraduates of Medicine (founded in 1978, monthly) is one of the series of journals of the Chinese Medical Association (CMA) under the supervision of the National Health Commission of the People's Republic of China, sponsored by the Chinese Medical Association (CMA) and Dalian Institute of Theoretical Medicine (DITM). It is a core journal of Chinese science and technology, a statistical source journal of Chinese scientific and technical papers, and a statistical source journal of China Academic Journal Impact Factor Annual Report. The journal adheres to the purpose of using continuing medical education and post training, highlights new theories, new knowledge, new methods and new technologies, and focuses on the combination of theory and practice, and the combination of popularisation and improvement. Main columns: Special tutorials, expert forums, clinical treatises, clinical experience, reviews and lectures, continuing medical education, teaching and research, advanced training forum, drugs and clinics, overview of progress, introduction of new technologies, imaging and clinics, lessons learnt, discussions and evaluations, case reports, discussions of clinical cases, conference proceedings, and domestic and international academic developments. The main target readers are clinical medical personnel in internal medicine, surgery, gynaecology, paediatrics and ophthalmology.