同济大学学报（医学版）2013，Vol.34Issue(3)：113-115,3.DOI:10.3969/j.issn1008-0392.2013.03.028
无创正压通气对脓毒症所致急性肺损伤患者血流动力学的影响
Effects of noninvasive positive ventilation on hemodynamics in patients with acute lung injury induced by sepsis
华玮 1宋红转 1俞斌 1戴晓勇 1颜伶1
作者信息
- 1. 上海市杨浦区中心医院急诊科,上海200090
- 折叠
摘要
Abstract
Objective To investigate the effects of noninvasive positive ventilation (NIPPV) on hemodynamics of patients with acute lung injury/acute respiratory distress (ALI/ARDS) induced by sepsis.Methods Twenty nine patients with ALI/ARDS induced by sepsis were included in the study.The blood gas analysis (SaO2,PaO2 and PaCO2),HR,and hemodynamics (MAP,CI,CO,SVR)measured by noninvasive heart function before and 2-4 hours,24 hours after NIPPV,and withdrawing ofNIPPV were recorded and analyzed.Results The index (PaO2,SaO2) were increased (P ＜ 0.01),HR was improved (P ＜ 0.05) after treatment of NIPPV; while there were no significant differences in hemodynamics (MAP,CI,CO,SVR) before and after treatment (P ＞ 0.05).Conclusion For patients with ALI/ARDS induced by sepsis in the early stage,NIPPV treatment can improve the arterial oxygen saturation (SaO2) and arterial partial pressure of oxygen (PaO2),and has no significant side effects on circulation dynamics.关键词
脓毒症/无创正压通气/血流动力学Key words
sepsis / noninvasive positive ventilation / hemodynamics分类
医药卫生引用本文复制引用
华玮,宋红转,俞斌,戴晓勇,颜伶..无创正压通气对脓毒症所致急性肺损伤患者血流动力学的影响[J].同济大学学报（医学版）,2013,34(3):113-115,3.
