关键词: 急性病;肺水肿;呼吸，人工;通气机，机械

    摘 要:目的 探讨人工机械通气救治急性肺水肿的疗效. 方法 对18例急性重症肺水肿(心源性和非心源性)患者在传统常规治疗同时加用人工机械通气.呼吸机经鼻、口插管或气管切开进行气道正压通气治疗，观察通气前后动脉血气中pH，PaO2 ，PaCO2 ，SaO2 的变化以及患者HR，PR，BP及临床征象的变化. 结果 通气治疗后，18例患者临床症状明显改善，pH，PaO2 ，PaCO2 ，SaO2 等参数与治疗前比较有显著性差异(P<0.05)，18例患者均抢救成功，顺利脱机. 结论 人工机械通气治疗急性重症肺水肿，能迅速改善患者症状和低氧血症，是抢救急性重症肺水肿的一种安全有效的辅助治疗方法.

    Effect of artificial controlled mechanical ventilation in the treatment of patients with acute severe pul┐monary edema

    WANG Xiao-Ping JIN Fa-Guang

    1 Department of Thoracic Surgery，

    2 Department of Respiratory Diseases，Tangdu Hospital，Fourth Military Medical University，Xi'an710038，China

    Keywords:acute disease;pulmonary edema;respiration，ar-tificial;ventilators，mechanical

    Abstract:AIM To evaluate the efficacy of artificial con-trolled mechanical ventilation in the treatment of the patients with severe acute pulmonary edema(APE).METHODS Eighteen patients with APE(cardiogenic and non-cardiogenic)were treated with both artificial controlled me-chanical ventilation and conventional treatment.The clinical symptoms ......