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目的探讨无创正压通气(NIPPV)在溺水后并急性肺损伤/急性呼吸窘迫综合征患者中应用的可行性研究。方法收集溺水后并急性肺损伤/急性呼吸窘迫综合征病人36例,采用无创正压通气治疗,记录治疗前后的血气分析结果和心率、呼吸频率、血压的改变,观察其疗效,并作统计学分析。结果NIPPV能明显改善溺水后并ALI/ARDS患者的临床监测指标。结论溺水后出现急性肺损伤、早期急性呼吸窘迫综合征时可考虑尝试无创正压通气治疗。
Objective To investigate the feasibility of noninvasive positive pressure ventilation (NIPPV) after drowning in patients with acute lung injury / acute respiratory distress syndrome. Methods Thirty-six patients with acute lung injury / acute respiratory distress syndrome after drowning were collected. Noninvasive positive pressure ventilation was used to record blood gas analysis results before and after treatment. Changes of heart rate, respiratory rate and blood pressure were recorded. The curative effect was observed and statistically analyzed analysis. Results NIPPV can significantly improve the clinical monitoring of patients after drowning and ALI / ARDS. Conclusions Acute lung injury after drowning and noninvasive positive pressure ventilation may be considered in the early stage of acute respiratory distress syndrome.