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无创性双水平气道正压通气治疗老年人心功能不全的探讨
Evaluation of Noninvasive Bi-level Positive Airway Pressure Ventilation in Treatment of Elderly Patients with Heart Failure
【摘要】 目的 :本文观察BiPAP通气治疗 13例心功能不全低氧血症的老年患者的疗效。方法 :13例住院心衰患者均在心衰发作血氧饱和度低于 90 %后 ,使用BiPAP辅助通气。结果 :13例患者在BiPAP辅助呼吸后血氧饱和度均很快上升 ,由平均值 81.92± 3.2 9%增至 97.6 2± 1.2 1% ,血压均无明显下降。结论 :BiPAP机械通气方式可治疗心脏病心功能不全低氧血症的老年患者 ,优点为无创性、使用方便安全、疗效迅速可靠、并发症少。因此 ,应将BiPAP辅助呼吸列为老年人心功能不全低氧血症的常规治疗措施之一
【Abstract】 Objective: To investigate the effects of mechanical bi-level positive airway pressure (Bi-PAP) ventilation in 13 elderly patients with Heart failure associated with hypoxaemia. Methods : Thirteen elderly patients with heart failure received mechanical Bi-PAP ventilation when oxygen saturation was lower than 90%. Results: The mean oxygen saturation increased from 81.92± 3.29% to 97.62± 1.21% after using BiPAP ventilation. The blood pressure showed no significant change. Conclusion: Mechanical Bi-PAP ventilation is a noninvasive, convenient, safe and effective treatment for elderly patients with heart failure associated with hypoxaemia and may be regarded as one of routine therapeutic measures for those patients.
- 【文献出处】 内科急危重症杂志 ,Journal of Internal Intensive Medicine , 编辑部邮箱 ,2004年01期
- 【分类号】R541.6
- 【被引频次】3
- 【下载频次】44