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无创通气在重症肺炎中的运用 被引量:16

The application of non-invasive ventilation in severe pneumonia
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摘要 目的探讨无创双水平正压通气(BiPAP)在救治重症肺炎中的价值。方法回顾性分析42例重症肺炎患者的临床资料,记录无创通气治疗组与对照组血气分析结果、心率/呼吸频率、血压的改变,作统计学分析。结果治疗24 h后,治疗组氧分压、血氧饱和度和心率较对照组明显改善。气管插管率、病死率无显著性差异。结论运用无创双水平正压通气治疗重症肺炎,在改善血气数值/缩短住院时间方面明显优于对照组。 Objective To investigate the value of non- invasive bi - level positive airway pressure (BiPAP) in the treatment of severe pneumonia. Methods A retrospective analysis was conducted to the clinical data of 42 patients with severe pneumonia. The changes of non- invasive ventilation, blood gas analysis, heart rate/respiratory rate, blood pressure in the treatment group and control group were recorded and statistically analyzed. Results Compared with the control group, the oxygen partial pressure, oxygen saturation and heart rate in the treatment group were markedly improved after 24 h treatment. There was no significant difference in endotracheal intuba- tion rate and mortality. Conclusion The use of non - invasive bi - level positive airway pressure for treatment of severe pneumonia can markedly improve blood gas values and shorten hospital stay.
出处 《实用临床医药杂志》 CAS 2011年第24期72-74,共3页 Journal of Clinical Medicine in Practice
关键词 无创通气 重症肺炎 血气分析 non-invasive ventilation severe pneumonia blood gas analysis
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