摘要
目的评价新型双水平气道正压通气(Bi-PAP)在无创机械通气治疗重叠综合征急性加重期的优势。方法16例被诊断为重叠综合征急性加重的患者,在先行给予抗生素、解痉、利尿、呼吸兴奋剂治疗效果不佳时,同时迅速给予双水平气道正压治疗,并分为使用新型Bi-PAP和旧型Bi-PAP机器两组,观察其转归。结果其中7例使用新型机器的患者,经无创机械通气治疗全部缓解;9例应用旧型机器治疗的患者中有6例经无创机械通气缓解,另3例因无创治疗效果不佳改用有创机械通气治疗。结论新型双水平气道正压通气的合理应用,可以使更多的重叠综合征急性加重期患者无需经有创机械通气治疗而缓解,同时减少了发生医院获得性肺炎的可能性。
OBJECTIVE To assess the superiority of new type bi-level positive airway pressure（Bi-PAP） in treating overlap syndrome. METHODS Sixteen cases diagnosed overlap syndrome were quickly given Bi-PAP treatment simultaneously, where their therapeutic efficacy of antibiotic, relieving spasm, diuresis and respiratory stimulant in advance was not fine. All patients were divided into new type Bi-PAP and old Bi-PAP groups based on the type of machines used. RESULTS Seven of 16 patients receiving new type Bi-PAP got remission through non-invasive mechanical ventilation. Among the other 9 patients receiving old type Bi-PAP, 6 got remission through noninvasive mechanical ventilation, 3 received invasive mechanical ventilation because of poor response to non-invasive mechanical ventilation. CONCLUSIONS More acute overlap syndrome patients can get remission through new type Bi-PAP without invasive mechanical ventilation and have decreased possibility of getting hospital-acquired pneumonia.
出处
《中华医院感染学杂志》
CAS
CSCD
北大核心
2006年第8期894-895,共2页
Chinese Journal of Nosocomiology
关键词
重叠综合征
无创机械通气
医院获得性肺炎
Overlap syndrome
Non-invasive mechanical ventilation
Hospital-acquired pneumonia
