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Noninvasive ventilation treatment in perioperative period of cardiovascular surgery
Author(s): 
Pages: 570-571
Year: Issue:  6
Journal: THE JOURNAL OF PRACTICAL MEDICINE

Keyword:  呼吸人工心脏外科手术;
Abstract: 目的:研究无创通气用于心血管手术围术期的呼吸支持的效果.方法:心血管手术围术期呼吸衰竭患者20例,经强心、利尿、扩血管及吸氧治疗无明显缓解,以BiPAP S/T 30(RESPIRONICS INC)呼吸机进行辅助呼吸,呼吸模式为压力支持通气加呼气末正压,以面罩接呼吸机进行呼吸辅助,监测患者心率、呼吸频率、血气、心电图等.结果:14(70%)例患者呼吸衰竭缓解后脱离无创通气,6例改为气管插管呼吸机辅助通气,应用无创通气后无明显并发症.结论:在心血管手术围术期,应用无创通气进行呼吸辅助安全、有效,可减少气管插管,其效果介于面罩给氧和有创通气之间,可以作为二者之间的补充.
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