无创正压通气治疗急性心源性肺水肿临床分析

Noninvasive positive pressure ventilation in treatment of acute cardiogenic pulmonary edema

摘要: 目的:观察无创正压通气(noninvasive positive pressure ventilation,NPPV)治疗急性心源性肺水肿的疗效。方法:对26例急性心源性肺水肿引起的急性呼吸衰竭患者行NPPV,观察治疗期间心率和经皮血氧饱和度的变化,比较治疗前、治疗后2 h血气情况。结果:急性心源性肺水肿患者治疗2 h缺氧症状得到明显改善,心悸、呼吸困难及紫绀明显好转,心功能评级明显降低(P<0.01)。结论:对急性心源性肺水肿引起的急性呼吸衰竭行NPPV疗效显著。

Abstract: Objective:To observe the curative effect of noninvasive positive pressure ventilation (NPPV) in treatment of acute cardiogenic pulmonary edema.Methods:Twenty-six patients with acute respiratory failure due to acute cardiogenic pulmonary edema were treated by NPPV.The variation of heart rate and percutaneous oxygen saturation were observed;the blood gas analysis was compared before treatment and 2 hours after treatment.Results:The symptoms of the patients were significantly alleviated including hypoxia,heart palpitations,breathing difficulties and cyanosis,and the NYHA decreased significantly.Conclusions:NPPV has therapeutic advantages and significant effect in treatment of acute respiratory failure due to acute cardiogenic pulmonary edema.