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目的观察B IPAP无创机械通气对左心衰伴急性肺气肿的治疗效果。方法29例左心衰伴急性肺水肿在常规治疗基础上加用B IPAP无创机械通气,比较治疗前后病情改善情况和血气分析结果。结果26例患者行B IPAP无创机械通气后病情好转,呼吸频率(RR)及心率(HR)明显减慢,SaO2、PaO2、肺泡-动脉氧分压差(A-aDO2)、氧合指数(PaO2/F iO2)明显改善,血压(SBP)和pH恢复正常。结论B IPAP无创机械通气可明显改善左心衰伴急性肺水肿患者的病情和血气分析结果,可作为急性心源性肺水肿安全有效的一线治疗手段。
Objective To observe the therapeutic effect of B IPAP non-invasive mechanical ventilation on left heart failure with acute emphysema. Methods Twenty-nine patients with left heart failure and acute pulmonary edema were treated with B IPAP noninvasive mechanical ventilation on the basis of routine treatment. The improvement of blood pressure and blood gas analysis were compared before and after treatment. Results After 26 patients underwent BIPAP with noninvasive mechanical ventilation, their condition improved, respiratory rate (RR) and heart rate (HR) decreased significantly, SaO2, PaO2, A-aO2 and PaO2 / F iO2) was significantly improved, blood pressure (SBP) and pH returned to normal. Conclusion BIPAP non-invasive mechanical ventilation can significantly improve the left heart failure patients with acute pulmonary edema and blood gas analysis results, can be used as a safe and effective first-line treatment of pulmonary edema.