Full-Text Search:
Home|Journal Papers|About CNKI|User Service|FAQ|Contact Us|中文
《Practical Journal of Medicine & Pharmacy》 2007-04
Add to Favorite Get Latest Update

Clinical study of non-invasive management with bi-level positive airway pressure ventilation in elderly patients with acute left heart failure

LI Hai-ling, LIU Hong, LIN Hui-yan, et al. The ICU of the 401st Hospital of PLA, Qingdao 266071,China  
Objective To evaluate effects of non-invasive management with bi-level positive airway pressure (BiPAP) ventilation on elderly patients with acute left heart failure. Methods Thirty-seven elderly patients aged 60-94yrs.(mean 72.86±8.53 yrs) suffering from acute left heart failure due to various causes were rolled in this study. Correlative parameters during the first 24 hours when patients were admitted in ICU were observed and collected.State of an illness was evaluated with the standard of acute physiology and chronic health evaluationⅡ,Ⅲ (APACHEⅡ,Ⅲ). On the basis of conventional treatment, BiPAP therapy was used. The clinical conditions and blood gas results after management were compared with those before treatment. Results (1)The total improvement rate, the mortality rate and the intubation rate after BiPAP therapy were 78.38%,21.62% and 18.92% respectively. APACHE Ⅱ,Ⅲ score and the intubation rate in non-survivor group significantly higher than those in survivors group (P0.001 and P0.01 respectively).(2)The heart rate, respiratory rate, arterial oxygen tension(PaO2) and blood oxygen saturation(SaO2) were improved obviously after BiPAP therapy(P0.001).Conclusion If indications could be strictly controlled,condition evaluated objectively and opportunity grasped properly, BIPAP will be one of the effective methods in the treatment of elderly patients with acute left heart failure.
【CateGory Index】: R541.6
Download(CAJ format) Download(PDF format)
CAJViewer7.0 supports all the CNKI file formats; AdobeReader only supports the PDF format.
Chinese Journal Full-text Database 1 Hits
1 FANG Bin, MA Ming-yuan, LI YI-nan(ICU, The First People's Hospital Of Foshan 528000 China);Application of the Treatment with Bi-level Positive Airway Pressure in Patients with Severe Acute Left Heart Failure[J];Hainan Medical Journal;2005-12
Chinese Journal Full-text Database 10 Hits
1 FANG Xiang-qun,HUANG Rong,WANG Jian-lei,et al (ICU,People's Hospital of Huangshan Affiliated to Wannan Medical College,Huangshan 245000,China);Value of APACHEⅡ in prognostic assessment of patients with AECOPD combined with mechanical ventilation[J];Anhui Medical and Pharmaceutical Journal;2011-10
2 LING Ping,SUN Da-zhi(SICU,Second College of Clinical Medicine,Chongqing University of Medical Sciences,Chongqing 400010,China);Application value of APACHEⅡ in SICU[J];Chongqing Medicine;2006-07
3 HUANG Bin1,WANG Dao-xin2,CHENG Yuan3(1.Intensive Care Unit;2.Department of Respiration,3.Department of Neurosurgery,Second Affiliated Hospital,Chongqing Medical University,Chongqing 400010,China);Application of APACHEⅡ scoring systems in evaluating MODS patients severity of surgical intensive care unit[J];Chongqing Medicine;2010-10
4 ZHOU Jian,HUANG Xian-kai,YANG Wen-qiong (Trauma Center,Daping Hospital,Third Military Medical University, Chongqing 400042,China);Prediction of outcome by APACHEⅡscoring system for multiple trauma patients in ICU[J];Journal of Traumatic Surgery;2003-04
5 CHEN Shu fang,YANG Xin jian,JIAN Hua sheng,et al. (Department of Emergency,Wound and Trauma Center;PLA,Daping Hospital, Third Military University,Chongqing 400042,China);Clinical application of combined scoring in emergency of traumatic patients[J];Journal of Traumatic Surgery;2004-01
6 Liu Miao-bing~1;Hong Heng~2;Xu Li-ying~3, et al. (~1Beijing Chaoyang hospital,Affiliated to Capital University of Medical Science, Beijing 100020,China) (~2Department of Cardiology,Beijing Shijingshan Hospital,Beijing 100043, China) (~3The fourth hospital of Datong in Shanxi, Datong 037003, China);Analysis on the Clinical Characteristics of 330 Patients with Severe Emergency Diseases[J];Chinese Journal of Medicinal Guide;2005-05
7 Peng Qi,Chen Xiao-Ying (Department of Cardiovascular Surgery,Wuhan Asia Heart Hospital,Wuhan 430022,China);Analysis of Prognosis Assessment with APACHE Ⅲ、MODS and SOFA for the Postoperative Patients in Cardiovascular[J];Chinese Journal of Medicinal Guide;2010-10
8 Sun Yi (Department of Emergency Medicine Hospital,Shiyan 442012,China);The Clinical Study of the Prediction and Evaluation About Intensive Patients[J];Chinese Journal of Medicinal Guide;2011-12
9 LIU Huishu,WANG Yifeng,XU Zhong,et al.(Obstetric Critical Care Center of Guangzhou,The Second Municipal Hospital of Guangzhou,Guangzhou 510150,China);Application of acute physiology and chronic health evaluation Ⅱ for critically ill obstetric patients admitted to GICU[J];Chinese Journal of Clinical Obstetric and Gynecology;2005-06
10 Hu Ming,Meng Jianhua,Qing Xueyan (The Affiliated Ruikang Hospital of Guangxin College of Traditional Chinese Medicine,Nanning530011);Application and effect analysis of ACHAPEⅡ scoring during the emergency nursing for critically ill patients[J];Journal of Nurses Training;2010-20
©2006 Tsinghua Tongfang Knowledge Network Technology Co., Ltd.(Beijing)(TTKN) All rights reserved