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目的:探讨呼气末正压用于治疗常见呼吸系统急危重症的临床疗效,为常见呼吸系统急危重症的临床治疗提供理论依据。方法:本研究选取2012年4月至2013年4月本院收治的45例经常规治疗后无效的急性呼吸窘迫综合征患者作为研究对象,对患者进行呼气末正压通气治疗,观察呼气末正压通气对于急性呼吸窘迫综合征的治疗效果。结果:45例患者经呼气末正压通气治疗后,有41例患者病情好转,患者的病情好转率为91.1%。与治疗前相比,患者经呼气末正压通气治疗后,二氧化碳分压(Pa CO2)、氧分压(Pa O2)、动脉血氧饱和度(Sa O2)、心率(HR)、呼吸(RR)显著改善(P<0.05)。结论:呼气末正压用于治疗急性呼吸窘迫综合征等常见呼吸系统急危重症具有良好效果。
Objective: To investigate the clinical effect of positive end expiratory pressure (CPAP) on the treatment of common respiratory system acute critically ill patients and to provide theoretical basis for the clinical treatment of common respiratory system critical illness. Methods: Forty-five patients with acute respiratory distress syndrome who were ineffective after routine treatment in our hospital from April 2012 to April 2013 were enrolled in this study. Positive end expiratory pressure ventilation was used to treat patients with exhaled breath Positive pressure ventilation for the treatment of acute respiratory distress syndrome. Results: After the positive end-expiratory pressure ventilation was performed in 45 patients, 41 patients improved and the improvement rate was 91.1%. Compared with those before treatment, the patients underwent positive end-expiratory pressure ventilation, PaCO 2, Pa O 2, Sa O 2, HR, RR) significantly improved (P <0.05). Conclusions: Positive end expiratory pressure has good effect in the treatment of acute respiratory distress syndrome such as acute respiratory distress syndrome.