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BiPAP鼻罩式机械通气(BiPAP通气)治疗各种病因的呼吸衰竭已证实有良好效果。而我急诊自1999年12月起开始把这种通气模式试用于早期治疗急性左心衰,取得满意疗效,至今共48例。现用回顾性1:1配对研究方法,报告如下。 1 资料与方法 1.1 临床资料 选择急诊室首诊的48例急性左心衰患者为治疗组。在常规药物治疗基础上,确诊5～10分钟内即进行BiPAP通气。年龄14～83岁,男28例,女20例。病因包括风心病、限制型心肌病、扩张型心肌病、甲亢性心肌病、高血压性心脏病、冠心病、妊高征、先天性心脏病等。所有患者
BiPAP nasal mechanical ventilation (BiPAP ventilation) has been shown to be effective in treating respiratory failure of various causes. And my emergency since December 1999 began to try this mode of ventilation in the early treatment of acute left heart failure, and achieved satisfactory results, a total of 48 cases so far. Retrospective retrospective 1: 1 matching research methods, the report is as follows. 1 Materials and Methods 1.1 Clinical Information Choosing the emergency department of 48 cases of acute left heart failure treatment for the treatment group. On the basis of routine medical treatment, diagnosis of BiPAP ventilation within 5 to 10 minutes. Aged 14 to 83 years old, 28 males and 20 females. Causes include rheumatic heart disease, restrictive cardiomyopathy, dilated cardiomyopathy, hyperthyroid cardiomyopathy, hypertensive heart disease, coronary heart disease, pregnancy-induced hypertension, congenital heart disease. All patients