The application of non invasive ventilation in severe pneumonia
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摘要: 目的 探讨无创双水平正压通气(BiPAP)在救治重症肺炎中的价值.方法 回顾性分析42例重症肺炎患者的临床资料,记录无创通气治疗组与对照组血气分析结果、心率/呼吸频率、血压的改变,作统计学分析.结果 治疗24 h后,治疗组氧分压、血氧饱和度和心率较对照组明显改善.气管插管率、病死率无显著性差异.结论 运用无创双水平正压通气治疗重症肺炎,在改善血气数值/缩短住院时间方面明显优于对照组.
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Mandell LA, Infectious Diseases Society of America, American Thoracic Society. Infectious Diseases Society of America/American Thoracic Society consensus guidelines on the management of community-acquired pneumonia in adults [J]. Clinical Infectious Diseases, 2007, (Suppl 2):S27.doi: 10.1086/511159. American thoracic society. Guidelines for the management of adults with community-acquired pneumonia diagnosis assessment of security, an timicrobial therapy, and prevention [J]. Journal of the American Medical Association, 2001(7):1730. 朱小芳, 徐琴. 无创双水平正压通气治疗急性心源性肺水肿20例 [J]. 长江大学学报（自科版）医学卷, 2010(2):20.doi: 10.3969/j.issn.1673-1409(R).2010.02.008. Casado R J, de Mello M J, de Arag R C. Incidence and risk factors for health care-associated pneumonia in a pediatric intensive care unit [J]. Critical Care Medicine, 2011(8):1968.doi: 10.1097/CCM.0b013e31821b840d. Ramirez JA, Anzueto AR. Changing needs of communityacquired pneumonia [J]. Journal of Antimicrobial Chemotherapy, 2011, (Suppl 3):iii3.doi: 10.1093/jac/dkr094. 左一俊, 俞小卫. 重症肺炎合并ADS11例的诊断及机械通气等综合治疗 [J]. 中国急救医学, 2004(2):132.doi: 10.3969/j.issn.1002-1949.2004.05.034. 傅祖红, 胡振红, 徐西琳. 无创通气在肾移植术后巨细胞病毒性肺炎并呼吸衰竭患者中的临床疗效 [J]. 中国急救医学, 2009(1):61.doi: 10.3969/j.issn.1002-1949.2009.01.025. 竺红宇, 李军川, 杨华. 双水平无创正压通气治疗危重型支气管哮喘的护理研究 [J]. 实用临床医药杂志, 2010(8):34.doi: 10.3969/j.issn.1672-2353.2010.08.018. 欧阳艳红, 严首春, 鲍传裕. 急诊早期应用BiPAP无创机械通气治疗急性左心衰竭临床研究 [J]. 实用临床医药杂志, 2010(9):18.doi: 10.3969/j.issn.1672-2353.2010.09.006.
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