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目的:探讨鼻塞持续气道正压(CPAP)对小儿高原肺水肿的治疗作用,观察其在治疗小儿高原肺水肿中的临床效果。方法:分析以鼻塞持续气道正压通气治疗12例由内地进入海拔2 200m以上高原的急性高原性肺水肿患者与既往12例同类患者的临床资料。结果:治疗组12例患儿应用NCPAP治疗的疗效显著,疗程较对照组明显缩短。结论:鼻塞式CPAP治疗小儿高原肺水肿,疗效肯定,是一种无创、安全、有效的通气方式。
Objective: To investigate the therapeutic effect of nasal continuous positive airway pressure (CPAP) on pulmonary edema in children and observe its clinical effect in treating pulmonary edema in children. Methods: The clinical data of 12 patients with acute high altitude pulmonary edema who entered the plateau above 2 200 m above sea level with the former 12 patients were analyzed with continuous positive airway pressure ventilation for nasal obstruction. Results: The treatment group of 12 cases of children treated with NCPAP significant effect, treatment was significantly shorter than the control group. Conclusion: Nasal CPAP treatment of children with high altitude pulmonary edema, positive effect, is a noninvasive, safe and effective ventilation.