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目的观察无创正压通气合用大黄对重症急性胰腺炎(SAP)并急性呼吸窘迫综合征(ARDS)的临床疗效。方法在常规治疗的基础上给予无创正压通气模式 CPAP,参数 PEEP 10～15 cmH_2O,PSV 8～10 cmH_2OFiO_2 45%～80%,使 SPO_2≥95%,呼吸困难症状改善逐渐调整参数,同时给予大黄粉10 g/次灌肠,每日3次,随胃肠功能恢复,肠鸣音正常,腹胀缓解,排便每日2～3次后停用。结果 16例患者均痊愈。结论常规治疗基础上,合理应用 NIPPV、中药大黄是治疗 SAP 并 ARDS 患者的较好治疗方法。
Objective To observe the clinical effect of non-invasive positive pressure ventilation combined with rhubarb on severe acute pancreatitis (SAP) and acute respiratory distress syndrome (ARDS). Methods On the basis of routine treatment, the noninvasive positive pressure ventilation mode CPAP, PEEP 10 ~ 15 cmH 2 O, PSV 8 ~ 10 cmH 2 OFiO 2 45% ~ 80%, SPO 2 ≥ 95%, dyspnea symptom improvement were gradually adjusted, Yellow powder 10 g / time enema, 3 times a day, with gastrointestinal function recovery, normal bowel sounds, abdominal distension ease, defecation 2 to 3 times daily disabled. Results 16 patients were cured. Conclusion Based on routine treatment, rational use of NIPPV, rhubarb is a better treatment of patients with SAP and ARDS.