Noninvasive positive pressure ventilation for patients with acnte respiratory distress syndrome as a result of CMV pneumonia after renal transplantation
- VernacularTitle:无创正压机械通气治疗肾移植术后巨细胞病毒肺炎所致急性呼吸窘迫综合征
- Author:
Chuan TIAN
;
Dongsheng XU
;
Shuangde LIU
;
Hongwei WANG
;
Jieke YAN
;
Xiaoli LIU
;
Rongmei ZHANG
- Publication Type:Journal Article
- Keywords:
Cytomegalovirus;
Kidney transplantation;
Acute respiratory distress syn-drome;
Noninvasive positive pressure ventilation
- From:
Chinese Journal of Urology
2008;29(9):628-630
- CountryChina
- Language:Chinese
-
Abstract:
Objective To discuss the clinical application of noninvasive positive pressure ventila-tion for patients with acute respiratory distress syndrome (ARDS) as a result of cytomegalovirus (CMV) interstitial pneumonia after renaltransplantation. Methods There were 371 renal transplan-tation from March 2003 to October 2006, 27 patients were diagnosed as CMV pneumonia postopera-tion. Ten patients were treated with noninvasive positive pressure ventilation within the 11 patients who aggravated to ARDS. The clinical data of before and after mechanical ventilation were reviewed. Results Among patients received noninvasive positive pressure ventilation, 1 died of complication. Seven patients were cured by noninvasive positive pressure ventilation. Significant difference of the physiological index presented between the 7 patients cured with noninvasive positive pressure ventila-tion before and after the use of ventilation(P<0.05), and significant difference of the renal function also existed(P<0.05). Conclusion The major value of noninvasive positive pressure ventilation is to correct the hypoxemia.
