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目的:探讨高原肺水肿的机械通气治疗疗效。方法:选择本院2009年6月—2012年12月收治的48例高原肺水肿患者进行分析,随机分为治疗组24例和对照组24例。对照组给予基础治疗:强心、利尿、抗感染、氧疗、解痉、激素冲击、维持水电解质平衡、加强营养等;治疗组在对照组的基础上使用机械通气,比较观察患者氧合、住院时间、临床预后的差异。结果:治疗组与对照组治疗后比较能够明显改善患者的氧合指数(310±25)mm Hg vs(185±32)mm Hg(P<0.01)和减少住院时间(10±3.1)天vs(12±2.7)天(P=0.02),并且及时纠正低氧血症,减少器官功能衰竭的发生。结论:机械通气对高原肺水肿的治疗效果优于常规治疗。
Objective: To investigate the effect of mechanical ventilation on high altitude pulmonary edema. Methods: Forty-eight patients with high altitude pulmonary edema admitted to our hospital from June 2009 to December 2012 were selected and randomly divided into treatment group (24 cases) and control group (24 cases). Control group was given basic treatment: cardiac, diuretic, anti-infective, oxygen therapy, antispasmodic, hormonal impact, maintain water and electrolyte balance, strengthen nutrition, etc .; the treatment group on the basis of the control group using mechanical ventilation, Hospitalization, clinical differences in prognosis. Results: The oxygenation index (310 ± 25) mm Hg vs (185 ± 32) mm Hg and hospitalization time (10 ± 3.1) days vs ( 12 ± 2.7) days (P = 0.02), and timely correction of hypoxemia, reduce the incidence of organ failure. Conclusion: The effect of mechanical ventilation on plateau pulmonary edema is superior to routine treatment.