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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

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【作者】 李仁立刘晓晴杨宗香凃玲姚济华

【Author】 LI Renli, LIU Xiaoqing, YANG Zhongxiang, et al. Tongji Hospital Affiliated to Tongji Medical College, Huazhong University of Science and Technology, Wuhan 430030, China

【机构】 华中科技大学同济医学院附属同济医院华中科技大学同济医学院附属同济医院 武汉430030武汉430030武汉430030

【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
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