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目的:观察BiPAP呼吸机面/鼻罩正压通气治疗急性左心功能衰竭的临床疗效。方法:32例急性左心功能衰竭患者,在常规药物抗心力衰竭治疗基础上联用BiPAP呼吸机面/鼻罩正压通气治疗,测定动脉血pH、氧分压、二氧化碳分压、血氧饱和度,观察血压、心率、呼吸及临床症状,并进行相关分析。结果:治疗后所有患者临床症状明显改善,总有效率100%;心率、呼吸频率、血压与治疗前比较显著降低(P<0.01);动脉血氧分压、血氧饱和度与治疗前比较显著增加(P<0.01)。结论:BiPAP呼吸机正压通气治疗急性左心功能衰竭疗效满意。
Objective: To observe the clinical efficacy of BiPAP ventilator / nasal mask positive pressure ventilation in the treatment of acute left heart failure. Methods: Thirty-two patients with acute left heart failure were treated with BiPAP ventilator / nasal mask positive pressure ventilation on the basis of routine drug treatment of heart failure. The arterial blood pH, partial pressure of oxygen, partial pressure of carbon dioxide, oxygen saturation Degree, observed blood pressure, heart rate, respiratory and clinical symptoms, and correlation analysis. Results: After treatment, the clinical symptoms of all patients were significantly improved with a total effective rate of 100%. Heart rate, respiratory rate and blood pressure decreased significantly compared with those before treatment (P <0.01); arterial oxygen tension and oxygen saturation were significantly higher than those before treatment Increase (P <0.01). Conclusion: BiPAP ventilator positive pressure ventilation is effective in treating acute left heart failure.