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目的探讨无创双相气道正压通气对急性心源性肺水肿的治疗价值。方法回顾性分析2008年2月以来本院25例急性心源性肺水肿采用无创双相气道正压通气治疗的病例,比较治疗前后心率、呼吸频率、平均动脉压、SPO2、PaO2、PaCO2的变化。用自身t检验进行统计学处理。结果采用紧闭面罩双相气道正压通气前后患者心率、呼吸频率、平均动脉压、SPO2、PaO2均有明显变化。PaCO2无明显变化。结论创双相气道正压通气在急性心源性肺水肿治疗中疗效是确切的,对于伴有呼吸衰竭的应该早期使用,有利于病情的及早控制。
Objective To investigate the value of noninvasive biphasic positive airway pressure ventilation in the treatment of acute cardiogenic pulmonary edema. Methods The clinical data of 25 cases of acute cardiogenic pulmonary edema treated with noninvasive biphasic positive airway pressure were retrospectively analyzed in our hospital from February 2008. The heart rate, respiratory rate, mean arterial pressure, SPO2, PaO2, PaCO2 Variety. With their own t test for statistical analysis. Results The heart rate, respiratory rate, mean arterial pressure, SPO2 and PaO2 in patients with closed mask before and after biphasic positive airway pressure were significantly changed. PaCO2 no significant change. Conclusions Biphasic positive airway pressure ventilation is effective in the treatment of acute cardiogenic pulmonary edema, and should be used early in the treatment of respiratory failure, which is conducive to the early control of the disease.