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BiPAP呼吸机在治疗急性心功能衰竭中的作用
引用本文:高红云,葛奎,庄育刚,崔世涛.BiPAP呼吸机在治疗急性心功能衰竭中的作用[J].临床急诊杂志,2009,10(2):89-90.
作者姓名:高红云  葛奎  庄育刚  崔世涛
作者单位:上海市第十人民医院急诊科,上海,200072
摘    要:目的:探讨BiPAP呼吸机面罩式双水平气道正压通气治疗急性心功能衰竭的疗效。方法:对38例急性心功能衰竭患者常规抗心力衰竭治疗的同时加用BiPAP呼吸机面罩式双水平气道正压通气支持治疗;进行呼吸频率、心率、动脉血气分析及临床症状体征等监测,并进行相关分析。结果:38例患者与对照组比较临床症状明显改善,PaO2、PaCO2、SaO2显著增高(P〈0.01)。结论:在常规抗心力衰竭治疗的基础上,短期应用BiPAP正压呼吸机通气治疗,能迅速改善心功能,且不良反应少,是抢救急性心功能衰竭的一种安全有效的方法。

关 键 词:心力衰竭  充血性  呼吸机

The value of BiPAP respirator in managing acute cardiac failure
GAO Hongyun,GE kui,ZHUANG Yugang,CUI Shitao.The value of BiPAP respirator in managing acute cardiac failure[J].Journal of Clinical Emergency Call,2009,10(2):89-90.
Authors:GAO Hongyun  GE kui  ZHUANG Yugang  CUI Shitao
Affiliation:(Shanghai Tenth People' s Hospital, Affiliated to Tongji University, Shanghai 200072, China)
Abstract:Objective:To investigate the efficiency of mask BiPAP respirator positive airway pressure support in managing acute cardiac failure . Method: 38 patients with acute cardiac failure were treated with BiPAP respirator in addition to conventional treatment, The changes of clinical symptoms, respiratory frequency, heart rate (HR), arterial blood gas(PaO2 ,PaCO2 ,SaO2 ) were detected to evaluate the efficiency of BiPAP respirator. Resuit:After using BiPAP respirator, the clinical symptoms of 38 patients had been improved significantly. All the clinical parameters showed a statistical difference compared with the Contrast group (P 〈0. 01). Conclusion.. BiPAP respirator can improve symptoms and correct hypoxemia in patients with the acute cardiac failure. It is a safe and effective method for treating patients with the acute cardiac failure.
Keywords:acute cardiac failure  BiPAP respirator
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