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无创呼吸机治疗COPD合并Ⅱ型呼吸衰竭的临床观察 被引量:24

Clinical observation of non-invasive positive pressure ventilation on chronic obstructive pulmonary disease complicated with type-Ⅱ respiratory failure
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摘要 目的探讨无创呼吸机在治疗COPD合并Ⅱ型呼吸衰竭患者中的价值。方法选择46例COPD合并Ⅱ型呼吸衰竭患者在内科治疗的基础上采用BiPAP无创呼吸机经口鼻面罩正压通气,观察治疗前后动脉血PH,PaO2,PaCO2等的变化。结果无创通气后PH,PaO2均有升高,同时PaCO2有下降。结论早期应用无创通气治疗COPD合并Ⅱ型呼吸衰竭效果较好,并发症少,病人易于接受。 Objective To investigate the value of non-invasive positive pressure ventilation(NIPPV)on chronic obstructive pulmonary disease complicated with type-Ⅱ respiratory failure.Methods Forty-six patients received NIPPV via full face-mask based on the medical treatment,the artery vigor and its change of PH,PaO2,PaCO2 before and after the treatment were observed.Results PH and PaO2 both raised,and PaCO2 declined after non-invasive ventilation.Conclusion Early use of NIPPV improves effective power and few complications,and it is easy to be accepted by patients.
作者 吴珺
出处 《临床肺科杂志》 2010年第10期1376-1377,共2页 Journal of Clinical Pulmonary Medicine
关键词 无创呼吸机 COPD Ⅱ型呼吸衰竭 non-invasive positive pressure ventilation chronic obstructive pulmonary disease type-Ⅱ respiratory failure
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