武警医学2011，Vol.22Issue(4)：314-316,319,4.
无创与有创正压通气救治溺水后并发急性呼吸衰竭疗效比较
A comparison of noninvasive and invasive positive pressure ventilations for treatment of drowning patients with acute respiratory failure
王鹏 1张利诚 1张明 1吴立新 1金晓辉 1黄贤 1胡晓懿1
作者信息
- 1. 314000,嘉兴,武警浙江总队医院呼吸科
- 折叠
摘要
Abstract
Objective To study the efficacy of noninvasive positive pressure ventilation(NIPPV) for the treatment of drowning patients with acute respiratory failure and contrast it with invasive positive pressure ventilation (IPPV). Methods 25 drowning patients were divided into NIPPV group( n= 13) and IPPV group( n= 12) . Both geoups were subject towith the same routine treatment.Observations were carried out on respiratory rate( RR), heart rate( HR), and arterial blood gas analysis. Results All patients responded successfully. After half an hour of treatment, the clinical parameters in the patients of the two groups became better than before the treatment ( P ＜ 0.05 ). There was not statistical difference in measured results of arterial blood gas analysis and HR and RR between the two groups in the same duration after 1 -hour of treatment ( P ＞ 0.05 ). There was not statistical difference in the pressure of ventilation between the two groups. The duration of ventilation in NIPPV group was shorter than that in IPPV group(P ＜ 0.05 ) . Length of hospital stay and medical expenses in NIPPV group were significantly reduced ( P ＜ 0.01 ). Conclusions NIPPV is a safe and effective treatment like IPPV for mild condition of acute respiratory failure due to drowning..关键词
无创正压通气/溺水/急性呼吸衰竭Key words
noninvasive positive pressure ventilation/ drowning/ acute respiratory failure分类
医药卫生引用本文复制引用
王鹏,张利诚,张明,吴立新,金晓辉,黄贤,胡晓懿..无创与有创正压通气救治溺水后并发急性呼吸衰竭疗效比较[J].武警医学,2011,22(4):314-316,319,4.
