Noninvasive positive pressure ventilation in the treatment of chronic obstructive pulmonary disease and respiratory failure in 40 cases of typeAnalysis.doc

 PAGE \* MERGEFORMAT 10 Noninvasive positive pressure ventilation in the treatment of chronic obstructive pulmonary disease and respiratory failure in 40 cases of typeAnalysis [Keywords:] noninvasive positive pressure ventilation in chronic obstructive pulmonary disease with respiratory failure Chronic obstructive pulmonary disease (COPD) with acute attack, on the basis of the original lesions appear inflammatory airway edema, poor drainage and further increased secretions, and respiratory muscle fatigue, and respiratory weakness, prone to severe hypoxemia and carbon dioxide retention. The traditional treatment of invasive mechanical ventilation, patients and their families to accept, delay in rescue and treatment time, the use of masks or nasal mask by means of mechanical ventilation, the patient retained the upper respiratory tract of gas heating, humidification function and block the barrier function of microbial invasion [1]. our hospital by using the suction mouth and nose mask positive airway pressure machine treatment of COPD and respiratory failure achieved satisfactory results, are reported below. 1 Materials and Methods 1.1 General Information Select January 2004 to January 2007 in our hospital with respiratory failure COPD with type 40 cases of adult hospitalized patients, including 29 males, mean age (68 + -5 years), 11 female, mean (62 + -5 years). All the cases are in line with the National Conference of chronic obstructive pulmonary disease diagnostic criteria [2]. selected cases (1) significant difficulty in breathing, cyanosis, rapid respiratory rate (20 beats / min), palpitation, drowsiness in 3 cases, inhalation of air when the partial pressure of oxygen (PaO2) lt;60 mmHg, carbon dioxide partial pressure (PaCO2)gt; 50 mmHg, oxygen saturation SaO2 lt;90%; (2) conscious, willing to cooperate, no serious arrhythmias, circulatory stability, and no bullae , airway secretions much, no septal deviation or turbinate hypertrophy as a