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无创机械通气在心肺血管疾病中的应用

Application of non-invasive positive pressure ventilation on respiratory and cardiovascular diseases

无创正压通气(NIPPV)广泛应用于各种原因引起的急性呼吸衰竭,尤其是在慢性阻塞性肺疾病(COPD)引起的慢性呼吸衰竭急性发作、心力衰竭方面治疗效果肯定,可以明确降低气管插管率、住ICU的时间、减少病死率、增加存活率;对继发于呼吸衰竭的轻中度肺性脑病有肯定的疗效;对于肺炎导致的呼吸衰竭治疗效果差;NIPPV在哮喘、急性呼吸窘迫综合征、COPD恢复期的治疗效果尚不肯定.NIPPV治疗效果与患者耐受程度、治疗后生理指标改善的程度直接相关.NIPPV是否会增加心力衰竭患者的心肌梗死发病率仍有争议.

作 者:
米玉红 刘双 MI Yu-hong LIU Shuang  
作者单位:
100029,首都医科大学附属北京安贞医院,EICU 
刊 名:
国际呼吸杂志  ISTIC
英文刊名:
INTERNATIONAL JOURNAL OF RESPIRATION 
年,卷(期):
2007 27(13) 
分类号:
R5 
关键词:
无创正压通气 知识脉络  呼吸衰竭 知识脉络  心力衰竭 知识脉络 
机标分类号:
R54 R56 
机标关键词:
无创机械通气心肺血管疾病应用治疗效果慢性呼吸衰竭心力衰竭慢性阻塞性肺疾病无创正压通气急性呼吸衰竭急性呼吸窘迫心肌梗死效果肯定生理指标气管插管急性发作患者肺性脑病程度轻中度恢复期 
基金项目:
 
DOI:
 
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