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《Acta Medicinae Sinica》 2008-01
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Clinical study on treatment of acute cardiogenic pulmonary edema by noninvasive mechanical ventilation

ZHANG Yu-mei The Fifth Hospital of Guilin City,Guilin 541004,China  
Objective:To estimate the efficacy of non-invasive positive pressure ventilation(NIPPV)in the treatment of the patients with acute cardiogenic pulmonary edema(ACPE).Methods:60 patients were randomly assigned to receive conventional oxygen therapy or NMV supplied by a standard ventilator through a face mask,with noninvasives mechanical ventilation in the treatment.Blood gas and vital signs were obtained forehead.Results:Endotracheal intubation was required in 5 of 30 patients assigned to receive NMV and in 12 of 29 assigned to receive conventional oxygen therapy.Resolution time was significantly shorter in the NMV group median40(5~77)vs 145(49~263)min(P0.01),NMV led to a rapid improvement in oxygenation in the first 2h.There were no differences in hospital and ICU length of stay or mortality.Conclusion:In this study of acute cardiogenic pulmonary edema,NMV is superior to conventional oxygen therapy.It can be recommended for clinical use.
【CateGory Index】: R541.6
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【Citations】
Chinese Journal Full-text Database 1 Hits
1 Niu Shanfu (Zhongshan Hospital and Institute of Respiratory Disease, Fudan University, Shanghai 200032;The Advances of Mask Mechanical Ventilation in the Treatmeat of Respirative Failure[J];Clinical Medical Journal of China;2003-05
【Co-citations】
Chinese Journal Full-text Database 7 Hits
1 TANG Jie,SHEN Ce(Department of Respiration,the Sixth People's Hospital of Shanghai,Shanghai 200233);Analysis of the effect and economics of no-invasive positive-pressure ventilation(NIPPV)in treating chronic obstructive pulmonary diseases(COPO) acute exacerbation[J];Beijing Medical Journal;2007-11
2 LI Mei (People's Hospital of Fengxian ,Jiangsu Province,Fengxian 221700);Clinical application of mechanical ventilation on the treatment of patients with acute severe left heart failure.[J];Attend to Practice and Research;2005-03
3 XIA Guo-ji,XU Jing-song,HUANG Guo-ming,TU Xiao-wen(Department of Internal Medicine,the 94 Hospital of PLA,Nanchang 330002,China);Clinical Observation of Bi-Level Positive Airway Pressure in the Treatment of Acute Cardiogenic Pulmonary Edema[J];Acta Academiae Medicinae Jiangxi;2006-04
4 JIN Tao,TIAN Zhuomin. Department of Intensive Care Unit, Tianjin City Hospital, Tianjin 300121,China;Non-invasive positive pressure ventilation in treating acute respiratory distress syndrome[J];Journal of Clinical Pulmonary Medicine;2007-01
5 OUYANG Xiuhe YU Liping ZHENG Wentao et al.Department of Respiratory Disease,Bin zhou Municipal People's Hospital in Shandong Province,Binzhou 256610;The Effect of Noninvasive Positive-Pressure Ventilation on Arterial-blood Gas in Patients with Severe Respiratory Failure[J];Chinese Journal of Clinical Medicine;2006-02
6 Su Qing-ju, GUAN Wei-mei (Department of Respiratory Disease, The Second Hospital of Baiyin, Baiyin, 730900, Gansu, China);Therapeutic effects of sequential invasive and non-invasive mechanical ventilation in the treatment of severe pulmonary heart disease patients with respiratory failure[J];Journal of Lanzhou University(Medical Sciences);2006-01
7 HAN Zhong-yuan(No.2 People's Hospital in Nantong Nantong 226002,China);Clinical analysis of non-invasive positive ventilation in treatment of severe acute cardiogenic pulmonary edema[J];Journal of Hainan Medical College;2009-10
【Secondary Citations】
Chinese Journal Full-text Database 1 Hits
1 LI Haichao 1, NIE Ligong 1, WANG Guangfa 1△ , QUE Chengli 1, MA Jing 1, LI Nan 1, ZHAO Zhijie 1, GAO Zhidong 2, XV Xiaoyuan 1, LU Haiying 1 (1.Peking University First Hospital, Beijing 100034, China; 2. Peking University School of Public Health);Clinical observation of non-invasive positive pressure ventilation (NIPPV) in the treatment of Severe Acute Respiratory Syndrome (SARS)[J];Journal of Beijing Medical University;2003-S1
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