陈林,谭小武,丁罗生,何振华.无创正压通气治疗重症免疫抑制相关性肺病28例.[J].中南医学科学杂志.,2011,39(5):538-540.
无创正压通气治疗重症免疫抑制相关性肺病28例
Noninvasive Positive Pressure Ventilation in Twenty-eight Patients With Severe Immunocompromised Lung Diseases
投稿时间:2011-03-21  
DOI:
中文关键词:  无创正压通气  免疫抑制  肺疾病  呼吸衰竭
英文关键词:noninvasive positive pressure ventilation  immunocompromise  Lung diseases  respiratory failure
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作者单位
陈林,谭小武,丁罗生,何振华 南华大学第二附属医院 呼吸内科湖南 衡阳 421001 
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中文摘要:
      目的探讨无创正压通气对重症免疫抑制相关性肺病患者并发急性呼吸衰竭的治疗效果。方法
英文摘要:
      ObjectiveTo evaluate the efficacy of noninvasive positive pressure ventilation in patients with severe immunocompromised lung diseases with acute respiratory failure.MethodsTwenty eight patients were treated with conventional treatment plus noninvasive positive pressure ventilation,the mode of ventilation was PSV,or SIMV+PSV with the presence of weakened spontaneous breath.ResultsWith an average treating time of(15.8±8.4) days,the treatment was successful in eighteen patients,outcomes of arterial blood gas analysis,breath,and heart beat rates were greatly improved;the patients were discharged well(P<0.05);while invasive eventilation was supplemented to other 6 patients.Significant differences in the intolerance,pneumatothorax and APACHEⅡ scores were presented between the eighteen successful cases and the 6 failed ones.ConclusionsNoninvasive mechanical ventilation shows good effects on patients with severe immunocompromised lung diseases with acute respiratory failure,but should be strictly applied and complications should be avoided.
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