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目的:评价双水平无创正压通气(BiPAP)对慢性阻塞性肺疾病(COPD)并发肺性脑病治疗中的作用。方法:32例COPD并发肺性脑病患者在综合治疗基础上用BiPAP治疗观察前后血气分析与临床症状的变化。结果:28例患者治疗后血气分析与临床症状较治疗前明显改善,4例患者病情加重,2例自动出院,2例死亡。结论:BiPAP对COPD并发肺性脑病具有积极的治疗意义。
PURPOSE: To evaluate the role of bi-level noninvasive positive pressure ventilation (BiPAP) in the treatment of patients with chronic obstructive pulmonary disease (COPD) complicated with pulmonary encephalopathy. Methods: The changes of blood gas analysis and clinical symptoms before and after treatment with BiPAP in 32 COPD patients with pulmonary encephalopathy were analyzed. Results: The blood gas analysis and clinical symptoms of 28 patients were significantly improved after treatment. Four patients were exacerbated, two patients were discharged automatically and two patients died. Conclusion: BiPAP has a positive therapeutic effect on COPD with pulmonary encephalopathy.