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目的:36例高原肺水肿呼吸支持临床分析。方法:选取5年来我院收治的36例高原肺水肿患者根据病情采取不同的呼吸支持方法,监测患者治疗前后的心率(HR),氧合指数(OI),血氧饱和度(SpO2)和氧分压(PO2),以及患者的临床症状,机械通气时间,住院天数。结果:患者均于30min～2h内临床症状明显改善,肺部啰音明显减少或消失,均痊愈,14例无创通气治疗患者治疗2小时后各项指标均有显著改善,平均机械通气治疗时间18小时,住院时间(4.5±0.8)天,治疗48小时后胸片均有改善,9例有创通气患者上机时间(3.68±0.96)天。结论:高原肺水肿及时,适时准确的实施不同的呼吸支持治疗能够有效缓解病情。
Objective: To analyze the respiratory support of 36 cases of high altitude pulmonary edema. Methods: Thirty-six patients with high altitude pulmonary edema treated in our hospital for 5 years were enrolled in the study. HR, OI, SpO2 and oxygen Partial pressure (PO2), as well as the patient’s clinical symptoms, mechanical ventilation, hospital days. Results: The clinical symptoms were significantly improved within 30min ~ 2h, the pulmonary rales significantly reduced or disappeared, were cured, 14 patients with non-invasive ventilation after treatment for 2 hours were significantly improved in all indicators, the average duration of mechanical ventilation 18 Hours, hospital stay (4.5 ± 0.8) days, chest radiographs after 48 hours of treatment were improved, and 9 cases of invasive ventilation patients on the machine time (3.68 ± 0.96) days. Conclusion: High altitude pulmonary edema timely and accurate implementation of different respiratory support therapy can effectively alleviate the condition.