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机械通气是抢救治疗慢性阻塞性肺病(COPD)并发呼吸衰竭的重要措施之一,但通常需要气管插管或气管切开,给患者带来很大的痛苫与并发症.近年来,随着压力支持通气的出现,经鼻面罩压力支持通气亦用于治疗呼吸衰竭,它可改善患者症状,减少气管插管或气管切开的应用.我们于1994年12月～1995年4月对18例COPD并发呼吸衰竭使用BiPAP治疗,并在同期以同样标准10例作对照行持续流量吸氧,旨在探讨经鼻面罩压力支持通气对呼吸衰竭的治疗价值.
Mechanical ventilation is one of the most important measures to rescue and treat chronic obstructive pulmonary disease (COPD) complicated with respiratory failure, but usually requires endotracheal intubation or tracheotomy, which brings great pain and complications to patients. In recent years, The emergence of pressure-supported ventilation, nasal mask pressure support ventilation is also used to treat respiratory failure, it can improve the patient’s symptoms, reduce the use of endotracheal intubation or tracheotomy.We in December 1994 ~ April 1995 18 cases COPD complicated with respiratory failure using BiPAP treatment, and in the same period with the same standard 10 cases of continuous flow of oxygen control, to explore the nasal mask pressure supportive ventilation on the treatment of respiratory failure.