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目的:探讨我院急诊ICU抢救COPD并发呼吸衰竭的临床疗效。方法:将我院2010-11-2013-06急诊抢救的61例COPD并发呼吸衰竭患者,分为治疗组32例、观察组29例,两组均常规给予BIPAP及相同内科药物治疗,治疗组加用普米克令舒和可必特雾化治疗,总结抢救方法的有效性。结果:治疗组较观察组在PH、PaO2、PaCO2、总有效率、口腔内痰痂形成率、住院时间均得到有效缓解。结论:使用BIPAP无创呼吸联合普米克令舒和可必特雾化抢救COPD并发呼吸衰竭是有效的方法。
Objective: To investigate the clinical efficacy of emergency ICU in our hospital in the treatment of COPD complicated with respiratory failure. Methods: Sixty-one patients with COPD complicated with respiratory failure who were admitted to our hospital from November 2010 to November 2013 were divided into treatment group (n = 32) and observation group (n = 29). Both groups were given routine BIPAP and the same medical treatment. Pulmicort respules and can be special atomization treatment, summarize the effectiveness of rescue methods. Results: The treatment group than the observation group in the PH, PaO2, PaCO2, total effective rate, oral sputum scab formation rate, hospital stay were effectively alleviated. CONCLUSIONS: BIPAP noninvasive breathing combined with pulmicort and mayibate aerosolized rescue COPD complicated with respiratory failure is an effective method.