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无创通气抢救9例肺源性ARDS经验总结

Clinical Experience of Noninvasive Positive Pressure Ventilation in 9 Cases with Pulmonary-associated Acute Respiratory Distress Syndrome

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【作者】 王金德任凤英刘振军李航赵茂茂

【Author】 WANG Jinde REN Fengying LIU Zhenjun, et al.Department of Respiratory Medicine Yuhuangding Hospital,Schocl of Midicine , Qingdao University ,Yantai 264000;Department of Respiratosy Disease;Laizhou Municipal People’s Hospital in Shandong Province ,Lizhou 261400;Yantai Garrison Command’s Hospital of PLA,Yantai 264000

【机构】 青岛大学医学院附属烟台毓璜顶医院呼吸内科山东省莱州市人民医院呼吸内科中国人民解放军烟台警备区医院青岛大学医学院附属烟台毓璜顶医院呼吸内科 山东烟台 264000山东莱州 261400山东烟台 264000

【摘要】 目的:评价无创通气技术在抢救急性呼吸窘迫综合征(ARDs)中的有效性和可靠性。方法:总结自2002年以来用无创通气技术面罩正压通气抢救9例肺源性ARDS临床实践经验。结果:8例成功存活并治愈,避免了气管插管;1例急性间质性肺炎死亡。结论:无创通气技术可以早期应用于肺源性ARDS的抢救,减少气管插管机会,并有良好的依从性。

【Abstract】 Objective:To evaluate the effectiveness and reliability of noninvasive positive pressure ventilation (NIPPV) in rescuing pulmonary-associated acute respiratory distress syndrome (ARDS). Methods: 9 cases of NIPPV via HORUS Temae (France), an invasive ventilator, and BiPAP Synchrony (Weikang Corp. ,USA) in pulmonary-associated ARDS in the Dept. of Respiratory Medicine were reviewed. Results: Eight cases were survived, and were avoided intra-tracheal intubations; one case died. Conclusion:Noninvasive ventilation (NIV) is safe,effective and reliable in rescuing pulmonary-associated ARDS in its early phase, with good compliance to the treatment and less chances of intra-tracheal intubations and less complications.

  • 【文献出处】 中国临床医学 ,Chinese Journal of Clinical Medicine , 编辑部邮箱 ,2006年04期
  • 【分类号】R563.8
  • 【被引频次】1
  • 【下载频次】55
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