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1、無(wú)創(chuàng)正壓通氣在治療急性左心衰竭中應(yīng)用觀(guān)察［摘要］目的探討無(wú)創(chuàng)正壓通氣呼吸機(jī)治療急性左心衰竭(ALVF)患者的臨床效果。方法將我院2010年3月?2012年3月收治的86例ALVF患者隨機(jī)分為對(duì)照組和治療組,各43例。對(duì)照組采用常規(guī)抗心衰的方法進(jìn)行治療；治療組患者在對(duì)照組的基礎(chǔ)上采用雙水平氣道正壓通氣(BiPAP)機(jī)械通氣治療，比較兩組患者治療前后血?dú)夥治銮闆r及治療的總有效率。結(jié)果治療前兩組患者動(dòng)脈血?dú)夥治霰容^無(wú)統(tǒng)計(jì)學(xué)差異，治療12h后治療組患者Pa02、PaC02、pH基本恢復(fù)正常，與對(duì)照組比較有統(tǒng)
2、計(jì)學(xué)差異(23.428、2.835、2.307,P〈0.05)。對(duì)照組中痊愈13例，顯效10例，有效7例，無(wú)效13例，總有效率為69.8%；治療組中痊愈19例，顯效13例，有效6例，無(wú)效5例，總有效率為88.4%,兩組比較差異有統(tǒng)計(jì)學(xué)意義(P<0.05)。結(jié)論雙水平氣道正壓通氣(BiPAP)機(jī)械通氣法治療ALVF效果十分明顯，值得臨床進(jìn)一步使用和推廣。［關(guān)鍵詞］雙水平氣道正壓通氣；左心衰竭［中圖分類(lèi)號(hào)］R541.6［文獻(xiàn)標(biāo)識(shí)碼］B［文章編號(hào)］1673—9701(2012)27—0159—02Obse
3、rvationofnoninvasivepositivepressureventilationinthetreatmentofacuteleftventricularfailureXIEShiliangDepartmentofRespiratoryMedicine，Lin?gaoCountyPeople"sHospitalinHainanProvince,Lin?gao571800,China[Abstract]ObjectiveToexploretheclinicaleffectofacutele
4、ftventricularfailurewithnoninvasivepositivepressureventilator(ALVF).Methods86casesofALVFpatientsfrommyhospitalinMarch2010一2012yearinMarchwererandomlydividedintocontrolandtreatmentgroup,eachof43cases?Controlgroupwereusedconventionalmethodsofanti一heartfa
5、iluretreatment；thetreatmentofpatientsinthecontrolgroupwereusedonthebasisofbi一levelpositiveairwaypressore(BiPAP)treatedwithmechanicalventilation，twogroupswerecomparedbloodgasanalysisandtreatmentefficiency.ResultsBeforetreatment，patientswerearterialblood
6、gasanalysisshowednostatisticaldifferenceinthetreatmentof12hinpatientstreatedwiththePa02Pac02,pHbacktonormal，comparedwithcontrolgroupsignificantdifference(t=3.428,2.835,2.307,P<0.05).Controlgroupof43cases,13caseswererecovered,10casesmarkedlyeffectivein7
7、casesand13cases,thetotaleffectiveratewas69.8%；treatmentgroupwerecured19cases,13casesmarkedlyeffectivein6cases,5cases,thetotaleffectiveratewas88.4%,thedifferencewassignificant(P<0.05)?ConclusionBi一levelpositiveairwaypressureventilationthemechanicalventi
8、lationFraneeonALVFpatientsthetreatmenteffectisveryobvious,itisworthfurtherclinicaluseandpromotion.[Keywords]Bi一levelpositiveairwaypressure；Leftventricularfailure急性左心衰竭(acuteleftventricularfailure,ALVF)臨床病死率極高，患者的主要死因是肺部毛細(xì)血管壓隨著肺靜脈壓的急劇升高而
