摘要
目的 观察双水平无创正压通气(BiPAP)在慢性阻塞性肺病(COPD)并发呼吸衰竭患者的抢救作用.方法 50例COPD伴Ⅱ型呼吸衰竭患者在常规治疗同时,用BiPAP呼吸机进行无创通气治疗,观察治疗前后的临床及动脉血气变化.结果 46例患者经机械通气治疗后意识恢复正常,动脉氧分压逐渐升高,动脉二氧化碳分压明显下降(P<0.01);1例放弃治疗,3例死亡.结论 BiPAP对COPD并呼吸衰竭疗效肯定,无严重不良反应.
Objective To estimate the efficacy of noninvasive positive pressure ventilation for chronic obstructive pulmonary disease (COPD) with severe respiratory failure. Methods Fifty cases of COPD with severe respiratory failure were treated by Bi-level noninvasive positive pressure ventilation and routine treatment. Observation was made on the clinical symptoms and changes of arterial blood gas before and after ventilation treatment. Results After ventilation, patients' symptoms of pulmonary encephalopathy and unconsciousness improved markedly and PaO2 improved significantly. Among forty-six cases, one patient dropped off and 3 cases died. Conclusions In COPD patients with severe respiratory failure, Bi-level positive airway pressure (BiPAP) noninvasive ventilation is effective with few serious complications.
出处
《中国实用医刊》
2010年第15期4-5,共2页
Chinese Journal of Practical Medicine
关键词
慢性阻塞性肺病
呼吸衰竭
无创通气
急诊
Chronic obstructive pulmonary disease
Respiratory failure
Noninvasive ventilation
Emergency Rescue
