摘要
目的观察无创正压通气(NIPPV)治疗急性肺水肿所致顽固性低氧血症的作用。方法对14例急性肺水肿(心源性和非心源性)所致低氧血症经传统常规治疗无效者加用NIPPV治疗,观察通气前,通气中及通气后的动脉血气,脉搏氧饱和度(SPO2),呼吸频率(RR)和心率(HR)变化。结果通气治疗后,12例患者临床症状明显改善,动脉血气指标与治疗前比较有显著差异(P<0.01)。1例改气管插管,1例放弃治疗。结论无创正压通气可明显改善急性肺水肿症状,缓解急性肺水肿引起的顽固性低氧血症。
Objective To observe the effect of NIPPV in treatment of refractory hypoxemia caused by acute pulmonary edema. Method NIPPV therapy was added to 14 patients with hypoxemia caused by acute pulmonary edema （ cardiogenic or non - cardiogenic） who showed no treatment effects after being given conventional therapy. Measured included in the study were the variations of ABG （ arteaial blood gas）, SPO2 （ pulse oxygen saturation）, RR（ respiration rate） and HR （ heart rate） of pre-vebtilate, ventilating and post-ventilate. Results After NIPPV therapy, 12 patients＇ clinical symptoms got obvious improvement and their ABG index had significant deviation compared with the situations before the treatment （P 〈 0. 01 ）. One case during the study period used the tracheal intubation instead and another one case gave up the treatment. Conclusion. NIPPV can improve the symptoms of acute pulmonary edema obviously and relieve the refractory hypoxemia caused by the edema.
出处
《临床肺科杂志》
2007年第7期697-698,共2页
Journal of Clinical Pulmonary Medicine
关键词
急性肺水肿
低氧血症
无创正压通气
acute pulmonary edema
hypoxemia
NIPPV（ non-invasive positive pressure ventilation）
