Mechanical ventilation in the treatment of clinical analysis of flail chest.doc

 PAGE \* MERGEFORMAT 7 Mechanical ventilation in the treatment of clinical analysis of flail chest 【Abstract】 Objective To investigate the bi-level positive pressure ventilation (biphasic positive airway pressure, BiPAP) in the role of flail chest. My hospital in January 1999 ~ March 2005 in line with the conditions of flail chest 43 patients, of which 14 cases of noninvasive positive pressure ventilation using BiPAP model as a BiPAP group and 29 patients were treated with conventional mechanical ventilation in intermittent positive pressure ventilation (intermittent positive pressure ventilation, IPPV), as the IPPV group, compared two groups of ICU length of stay, complications, mortality, and 24,48,72 h of arterial blood gases in PO2, PCO2 and oxygenation index. Results BiPAP group in the ICU in the treatment time was significantly shorter than the IPPV group, complications, mortality is less than IPPV group. 24,48,72 h monitoring of blood gas, PO2, PCO2, PaO2/FiO2 difference was not significant. Conclusion In patients with flail chest treatment, BiPAP mechanical ventilation is superior to IPPV. Flail Chest Keywords:: bi-level positive airway pressure: intermittent positive pressure ventilation 【Abstract】 Objective To explore the therapeutical effect of biphasic positive airway pressure (BiPAP) on flail chest.Methods 43 patients with severe flail chest were managed from January 1999 to March 2005. Clinical data were retrospectively analyzed.14 patients treated with BiPAP were called the BiPAP group, 29 patients treated with IPPV were called the IPPV group, compared with major complications, arterial blood gas levels at 24,48,72 hours a ftier mechanical ventilation, length of intensive care unit (ICU) stay and mortality in the two group.Results The incidence of complications, length of ICU stay and mortality were few in the BiPAP group. There were no significant differences in arterial blood gas levels between groups.Conclusion The clin