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目的 :本文观察BiPAP通气治疗 13例心功能不全低氧血症的老年患者的疗效。方法 :13例住院心衰患者均在心衰发作血氧饱和度低于 90 %后 ,使用BiPAP辅助通气。结果 :13例患者在BiPAP辅助呼吸后血氧饱和度均很快上升 ,由平均值 81.92± 3.2 9%增至 97.6 2± 1.2 1% ,血压均无明显下降。结论 :BiPAP机械通气方式可治疗心脏病心功能不全低氧血症的老年患者 ,优点为无创性、使用方便安全、疗效迅速可靠、并发症少。因此 ,应将BiPAP辅助呼吸列为老年人心功能不全低氧血症的常规治疗措施之一
OBJECTIVE: To investigate the efficacy of BiPAP ventilation in the treatment of 13 elderly patients with cardiac dysfunction and hypoxemia. METHODS: BiPAP-assisted ventilation was used in all 13 inpatients with heart failure after oxygen saturation of the heart failure was less than 90%. Results: The oxygen saturation of 13 patients increased rapidly after BiPAP assisted breathing, from an average of 81.92 ± 3.2 9% to 97.6 2 ± 1.2 1% with no significant decrease of blood pressure. Conclusion: BiPAP ventilation can treat elderly patients with cardiac dysfunction and hypoxemia. The advantages are noninvasive, convenient and safe operation, rapid and reliable curative effect and few complications. Therefore, BiPAP-assisted respiration should be listed as one of the common treatment measures of hypoxemia in elderly patients with cardiac insufficiency