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《Chinese Journal of Critical Care Medicine》 2000-12
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Clinical study of nasal(facial) mask Bi-level positive airway pressure ventilation in the treatment of acute pulmonary edema

LIN Pei-yi,CHEN Xiao-hui,CHEN Rong-chang The Emergency Department of the Second Affliated Hospital of Guangzhou Medical College,Guangzhou 510260,China  
Objective To asses the efficacy of nasal (facial) mask positive airway pressure (BiPAP) ventilation in acute pulmonary edema.Methods 20 patients with acute pulmonary edema (cardiogenic and non-cardiogenic) were treated with nasal(facial)mask positive airway pressure (BiPAP) ventilation in addition to conventional treatment.The changes of clinical symptoms and arterial blood gas(pH、PaO 2、PaCO 2、SaO 2) were measured to evaluate the efficacy of BiPAP mask ventilation.Results After BiPAP ventilation,the clinical symptoms of all patients had been improved significantly.Also,the clinical parameters showed a statistical differences ( P 0 05) compared with those before BiPAP mask ventilation.Therefore,endotracheal intubation could be avoided.Conclusion Noninvasive BiPAP mask ventilation could improve symptoms and hypoxemia in patients with acute pulmonary edema.Endotracheal intubation was avoided in the patients studied.It is a safe and effective method in treating acute pulmonary edema.
【CateGory Index】: R541.63
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