摘要
目的探讨双水平正压通气（BIPAP）治疗急性心源性肺水肿患者的临床效果。方法将我院2008年10月—2009年3月收治的33例急性心源性肺水肿的患者在常规治疗的基础上随机分为双水平正压通气组（BIPAP）和传统给氧组。观察分析二组患者治疗48小时后动脉血气，心率，呼吸，血氧饱和度，血压等指标。结果48小时后，比较二组患者的动脉血气、心率、呼吸、血氧饱和度、血压等。BIPAP组的动脉血气、心率、呼吸、血氧饱和度、血乐、气急、胸闷、肺部湿罗音等症状体征和生理参数指标改善比另一组更为明显。结论使用BIPAP治疗能迅速改善氧合，缓解呼吸困难避免了气管插管，是抢救急性肺水肿的一种安全有效的方法，值得临床推广使用。
Objective To assess the clinical effects of BIPAP for the treatment of acute cardiogenic pulmonary edema patients. Methods October 2008-March 2009 33 patients admitted to our hospital with acute cardiogenie pulmonary edema patients. Routine treatment of them and put them randomly into two groups, respectively BIPAP and conventional oxygen therapy. Results After 48 hours of therapy, compared two groups of patients with arterial blood gases, heart rate, respiration, oxygen saturation, blood pressure and so on. BIPAP group, arterial blood gases, heart rate, respiration, oxygen saturation, blood pressure, shortness of breath, chest tightness, pulmonary symptoms and signs such as mois（rales and physiological indicators of improvement is more obvious than in the other group. Conclusion Use of BIPAP therapy can rapidly improve oxygenation and relieve shortness of breath to avoid endotracheal intnbation, h is the emergency treatment of acute pulmonary edema in a safe and effective method. It is worthy of clinical use.
关键词
BIPAP
肺水肿
传统氧疗
BIPAP Pulmonary edema Conventional oxygen therapy
