BiPAP呼吸机治疗急性左心衰所致低氧血症的临床分析.doc

BiPAP呼吸机治疗急性左心衰所致低氧血症的临床分析
(作者:___________单位: ___________邮编: ___________)
【摘要】目的:观察双水平气道正压通气(BiPAP)呼吸机面/鼻罩正压通气治疗急性左心衰所致低氧血症的作用及其对心功能的影响, 评估其治疗急性左心衰所致低氧血症的临床疗效。方法:对18例急性左心衰并低氧血症患者,在常规药物抗心衰治疗基础上联用BiPAP呼吸机面/鼻罩正压通气治疗,观察患者治疗过程中动脉血气、呼吸频率(RR) 、心率(HR) 、血压及临床症状变化,并进行相关分析。结果:18例患者临床症状明显改善。BiPAP呼吸机面/鼻罩正压通气治疗后2 h 动脉血氧分压(PaO2)较治疗前显著增高(), RR及HR较治疗前显著降低( )。结论:BiPAP呼吸机正压通气治疗可明显改善急性左心衰患者的低氧血症和心功能,可作为其治疗手段之一。
【关键词】 BiPAP呼吸机; 正压通气;急性左心衰;低氧血症
with hypoxemia due to acute left heart failure with facial mask/nasal mask positive pressure ventilation by BiPAP ventilator based on routine antiheart failure drug. Observed arterial blood gas, respiratory rate (RR), heart rate (HR), blood pressure (BP) and clinic symptom, and made correlation analysis. Results: All symptoms of patients were obviously improved. 2h after treatment, arterial partial pressure of oxygen (PaO2) significantly increased (), RR and HR significantly decreased ( or ). Conclusion: Facial mask/nasal mask positive pressure ventilation with BiPAP ventilator can markedly improve hypoxemia due to acute left heart failure and heart function, and is reliable choice for treatment.
[KEY WORDS] BiPAP ventilator; Positive pressure ventilitation; Acute left heart failure; Hypoxemia
急性左心功能衰竭(左心衰)合并严重低氧血症时常危及生命,临床治疗非常棘手。本组研究在抗心衰常规药物治疗的同时,用双水平气道正压通气(BiPAP)呼吸机治疗急性左心衰所致低氧血症,取得了一定疗效,现报道如下。
1 临床资料
一般资料