摘要
目的 研究无创双水平正压通气 (BiPAP)对心源性肺水肿和重症社区获得性肺炎所致呼吸衰竭的治疗效果。方法 4 9例急性呼吸衰竭患者分为心源性肺水肿组 (2 5例 )和重症肺炎组 (2 4例 ) ,均应用BiPAP进行治疗 ,观察两组的治疗效果。结果 两组患者应用BiPAP治疗后早期氧合均得到明显改善 ;心源性肺水肿组在BiPAP治疗时间、气管插管率、死亡率方面均明显低于重症肺炎组。结论 无创正压通气在早期可以纠正心源性肺水肿和重症肺炎合并呼吸衰竭患者的氧合 ,但最终的预后因呼吸衰竭的病理类型不同而有很大区别。
Objective To study the effects of noninvasive bi-level positive airway pressure(BiPAP) ventilation in acute cardiogenic pulmonary edema(CPE) and severe community-acquired pneumonia(CAP) with acute respiratory failure. Methods Forty-nine patients with acute respiratory failure were divided into CPE group(25 patients) and CAP group(24 patients). The effects of the treatment were investigated. Results During the early phase of BiPAP treatment, the oxygenation improved significantly in both CPE and CAP groups. The CPE patients had a significantly shorter duration of BiPAP treatment than CAP patients. 8% patients in the CPE group and 37.5% patients in the CAP group required intubation ( P <0.01). The mortality rate was 4% in the CPE group and 29.2% in the CAP group ( P <0.01). Conclusion BiPAP could rapidly improve oxygenation in acute CPE and severe CAP with acute respiratory failure, however the subsequent outcome was different in two groups. [
出处
《中国急救医学》
CAS
CSCD
北大核心
2003年第9期608-609,共2页
Chinese Journal of Critical Care Medicine
关键词
双水平正压通气
急性呼吸衰竭
心源性肺水肿
社区获得性肺炎
Bi-level positive airway pressure(BiPAP)
Acute respiratory failure
Cardiogenic pulmonary edema(CPE)
Community-acquired pneumonia
