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《Practical Journal of Medicine & Pharmacy》 2007-04
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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
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【Citations】
Chinese Journal Full-text Database 1 Hits
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【Co-citations】
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