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目的评价双水平气道正压(BiPAP)通气治疗慢性阻塞性肺疾病(COPD)合并呼吸衰竭的疗效。方法对我院2006年5月~2009年5月收治的COPD合并呼吸衰竭患者中,应用BiPAP治疗且临床资料完整的45例进行回顾性分析。结果45例中39例症状明显改善,避免了气管插管,6例无效,其中3例死亡。结论BiPAP通气是治疗COPD合并呼吸衰竭的有效方法。
Objective To evaluate the efficacy of bi-level positive airway pressure (BiPAP) ventilation in patients with chronic obstructive pulmonary disease (COPD) complicated with respiratory failure. Methods From May 2006 to May 2009 in our hospital were treated COPD patients with respiratory failure, the application of BiPAP treatment and clinical data of 45 cases were analyzed retrospectively. Results Among the 45 cases, the symptoms of 39 cases were significantly improved. Endotracheal intubation was avoided and 6 cases were ineffective. Three of them died. Conclusion BiPAP ventilation is an effective method for treating COPD with respiratory failure.