论文部分内容阅读
目的评价双水平气道正压(BiPAP)无创通气治疗肾移植术后并发急性肺损伤(ALI)的临床效果。方法对56例肾移植术后合并ALI患者采用BiPAP呼吸机治疗结果进行回顾性总结,分析BiPAP呼吸机治疗前后患者生命体征(呼吸、心率、血压)及动脉血氧分压、二氧化碳分压的变化。结果 49例患者经无创通气治疗后生命体征、动脉血氧分压指标显著改善。7例因病情重改用气管插管有创通气。结论 BiPAP无创通气治疗肾移植术后并发ALI能改善患者低氧血症,改善其呼吸困难症状,可显著降低对气管插管的需求。
Objective To evaluate the clinical effect of bi-level positive airway pressure (BiPAP) non-invasive ventilation in the treatment of acute lung injury (ALI) after renal transplantation. Methods 56 patients with ALI after renal transplantation were retrospectively analyzed with BiPAP ventilator to analyze the changes of vital signs (respiration, heart rate, blood pressure) and arterial partial pressure of oxygen and partial pressure of carbon dioxide before and after treatment with BiPAP ventilator . Results The vital signs and arterial oxygen pressure index of 49 patients after non-invasive ventilation were significantly improved. 7 cases due to illness re-use tracheal intubation invasive ventilation. Conclusion BiPAP noninvasive ventilation in patients with renal transplantation complicated by ALI can improve patients with hypoxemia, improve their dyspnea symptoms, can significantly reduce the need for endotracheal intubation.