Full-Text Search:
Home|Journal Papers|About CNKI|User Service|FAQ|Contact Us|中文
《Chinese Critical Care Medicine》 2004-05
Add to Favorite Get Latest Update

Clinical analysis of complications after non-invasive positive pressure ventilation and an inquiry into the respiratory treatment strategy in patients with SARS

YANG Lei  ,LI Fei,LI Duo,JIA Jianguo, YANG Peng ,SUN Jiabang.  Surgical Intensive Care Unit,Xuanwu Hospital,Capital University of Medical Sciences,Beijing 100053,China  
Objective To analyze the clinical data of severe acute respiratory syndrome (SARS) patients with pneumothorax and mediastinal emphysema occurring after the noninvasive positive pressure ventilation (NIPPV),and to inquire into relevant strategy in respiratory treatment in the SARS patients. Methods Twentyseven serious cases of SARS undergone NIPPV were analyzed retrospectively. Results Pneumothorax and mediastinal emphysema occurred in 7 of 27 serious cases of SARS with NIPPV,and mediastinal emphysema occurred in 1 of 189 cases of SARS without mechanical ventilation(MV). The incidence of pneumothorax and mediastinal emphysema in serious cases of SARS with NIPPV was significantly higher (χ 2=25.052 , P 0.01) than that in cases of SARS without receiving MV. The peripheral blood oxygen saturation level was not changed significantly after reasonable adjustment of ventilation pressure and increase in oxygen concentration inhaled. Seven cases of pneumothorax and mediastinal emphysema improved gradually. Conclusion The incidence of pneumothorax and mediastinal emphysema in serious SARS patients with NIPPV is significantly higher than that in SARS patients without receiving MV. This might be related to SARS related pulmonary injuries,intensive cough and high mechanical ventilation pressure. The pneumothorax and mediastinal emphysema improve gradually in all cases after reasonable adjustment of mechanical ventilative pressure. So when NIPPV is used in the treatment of serious SARS patients to improve hypoxemia,optimized mechanical ventilative pressure should be acquired in order to avoid pneumothorax and mediastinal emphysema.
【CateGory Index】: R511.9
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 2 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
2 HE Weiqun, CHEN Sibei, LIU Xiaoqing, LI Yimin, XIAO Zhenglun. Guangzhou Institute of Respiratory Disease, Yingdong Critical Care Medical Center, Guangzhou 510120, Guangdong, China;Death risk factors of severe acute respirotary syndrome with acute respiratory distress syndrome[J];Chinese Critical Care Medicine;2003-06
Chinese Journal Full-text Database 10 Hits
1 YANG Wen-Lin,WANG Li-Hua,WANG Hai-Feng (Department of Respiratory Medicine,Baoshan Sub-Hospital,Shanghai First People's Hospital,Shanghai 200940,China);A retrospective analysis on common causes of failure of noninvasive positive pressure ventilation in patients with respiratory failure[J];Anhui Medical and Pharmaceutical Journal;2008-06
2 QIAN Zhao-xia,GAO Zhong-he (Department of Respiratory Diseases,Bengbu Third People's Hospital,Anhui 233000,China);Noninvasive mechanical ventilation for early pulmonary encephalopathy in the elderly[J];Journal of Bengbu Medical College;2005-01
3 WANG Ji-qin,GU wei,HAN bing(Department of Emergency,Minhang Hospital of Ruijin Hospital Group,Shanghai 201100,China);Investigation of noninvasive bi-level positive airway pressure ventilation combined with respiratory stimulant treatment of chronic obstructive pulmonary disease with pulmonary encephalopathy[J];Journal of Bengbu Medical College;2010-12
4 LIU Zhengang LIU Jie WANG QiyanDepartment of Respirtory Disease,The Affiliated Wudi Hospital of Binzhou Medical University 251900;Analysis of treatment on patients who suffered from chronic obstructive pulmonary disease with type Ⅱ respiratory failure[J];Journal of Binzhou Medical University;2008-01
5 ;无创机械通气治疗慢性肺源性心脏病合并Ⅱ型呼吸衰竭的临床疗效观察[J];Contemporary Medicine;2009-06
6 RONG Yi Hui 1,CHANG Wei Hua 1,LIU Yan Ping 1,MA Xue Mei 1,CHANG Bin Xia 1,YANG Yong Ping 1* ,ZOU Zheng Sheng 1, ZHOU Xian Zhi 1,HU Liang Ping 2,CHEN Ju Mei 1 (1.No.302 Hospital of PLA,Beijing 100039,China; 2.Institute of Intelligence,Academy of Military Medical Sciences,Beijing 100071);Damage to non-pulmonary organs like heart and kidney in SARS patients:An analysis of 330 cases[J];Academic Journal of Second Military Medical University;2003-08
7 CHANG Bin Xia 1,CHANG Wei Hua 1,LIU Yan Ping 1,MA Xue Mei 1,RONG Yi Hui 1, ZOU Zheng Sheng 1* , ZHOU Xian Zhi 1,HU Liang Ping 2, YANG Yong Ping 1,CHEN Ju Mei 1(1. No. 302 Hospital of PLA,Beijing 100039,China; 2. Institute of Intelligence,Academy of Military Medical Sciences,Beijing 100071);Study on prognostic factors of severe acute respiratory syndrome: An analysis of 165 cases[J];Academic Journal of Second Military Medical University;2003-08
8 ;Application of biphasic positive airway pressure ventilation in patients after cardiac surgery[J];Academic Journal of Second Military Medical University;2004-11
9 Zhao Hong~1,Xu Yan~1,Wu Yan-ling~2 (1 Numble 11 People Hospital,Guangzhou 510530,China;2 Numble 1 Clinical Hospital,Jinan Uniwersity,Guangzhou,510632,China);The Clinical Effect Exploration on Mechanical Ventilation Used in Patients with Chronic Obstructive Pulmonary Combined with Respiratory Failure[J];Chinese Journal of Medicinal Guide;2010-05
10 WANG Hong-jun,LI Hong-bing,WANG Ping-fei,ZHANG Xue-man(Department of Respiratory Diseases,Dazhou Central Hospital,Dazhou 635000,China);Effect of non-invasive positive pressure ventilation in treatment of COPD at acute exacerbation phase combined with typeⅡrespiratory failure in 53 patients[J];Acta Academiae Medicinae Militaris Tertiae;2007-16
China Proceedings of conference Full-text Database 1 Hits
1 ;The Influence of Niu-po-zhi-bao pellet(牛珀至宝微丸) on Collagenous Fiber Express of Acute Lung Injury in Endotoxin Shock Rat[A];[C];2004
【Secondary Citations】
Chinese Journal Full-text Database 6 Hits
1 WANG Chen; SHANG Mingyu;HUANG Kewu,et al. (Beijing Red Cross Chaoyang Hospital-Beijing Institute of Respiratory Medicine,Capital University of Medical Sciences,Beijing 100020,China );Sequential non-invasive following short-term invasive mechanical ventilation in COPD induced hypercapnic respiratory failure[J];CHINESE JOURNAL OF TUBERCULOSIS AND RESPIRATORY DISEASES;2000-04
2 XIAO Jun,ZHONG Rong.Affiliated Hospital of Guilin Medical College,Guilin Guangxi 541001;Prognosis and risk factors for hypernatremia in intensive care unit[J];Chinese Critical Care Medicine;2001-02
3 CHENG Xiaoming,QIAN Guisheng. Institute of Respiratory Diseases of PLA,Xinqiao Hospital,Third Military Medical University,Chongqing 400037,China;Clinical analysis on 321 cases of acute respiratory distress syndrome[J];Chinese Critical Care Medicine;2002-12
4 Zhu Lei,Niu Shanfu,Li Yangqin,et al;Mechanical ventilation via face mask in treatment of comatose patients with respiratory failure due to chronic obstructive pulmonary disease:Evaluation of therapeutic effectiveness[J];CHINESE CRITICAL CARE MEDICINE;1997-01
5 Zhang Haiming,Gu Yuhai,Li Ying,et al.Pulmonology Department,The People's Hospital of Qinghai Province,Xining 810007;Effect of mask plus pressure support ventilation on nocturnal hypoxemia in patients with chronic obstructive pulmonary diseases[J];CHINESE CRITICAL CARE MEDICINE;1998-02
6 Liu Hongwei,He Guojun,Cai Yingyun,et al.Respiratory Department,Shanghai First Pulmonology Hospital,Shanghai 200433;Cardiorespiratory effects of biphasic positive airway pressure ventilation in an acute lung injury model[J];CHINESE CRITICAL CARE MEDICINE;1998-09
©2006 Tsinghua Tongfang Knowledge Network Technology Co., Ltd.(Beijing)(TTKN) All rights reserved