6.Clinical value of noninvasive intermittent positive-pressure ventilation in pneumoconiosis combined with respiratory failure.
Zu-Ying HU ; Jing-Yin HAN ; Shu-Juan WANG ; Ting YU
Chinese Journal of Industrial Hygiene and Occupational Diseases 2011;29(4):311-313
OBJECTIVETo evaluate the value of noninvasive intermittent positive-pressure ventilation (NIPPV) in treatment of patients with pneumoconiosis combined with respiratory failure.
METHODThree were 46 inpatients with pneumoconiosis combined with respiratory failure. Twenty-six inpatients treated with conventional therapy and NIPPV were categorized as treatment group; Twenty inpatients just treated by conventional therapy served as control group. Compared with the changes of HR, RR and arterial blood gas index (PH, PaCO2, PaO2) in two groups after treatment.
RESULTSThe effective ratio of treatment group was 88.5%, control group was 60%, which had significant difference (P < 0.05); The HR in treatment group after treatment was (95.38 +/- 10.75) beats per minute, control group was [(103.00 +/- 12.56) beats per minute; The RR in treatment group was (21.69 +/- 1.37) breaths per minute, control group was [(22.60 +/- 1.57) breaths per minute]; The PaCO2 in treatment group was (52.88 +/- 10.75)mm Hg, control group was [(59.66 +/- 11.49)mm Hg]; All of those were significantly decreased than those in control group (P < 0.05). The PaO2 in treatment group was (100.77 +/- 25.3) mm Hg, control group was [(71.82 +/- 17.94) mmHg]; Compared with the control group, PaO2 in the treatment group increased significantly (P < 0.05).
CONCLUSIONNIPPV is beneficial to pneumoconiosis combined with respiratory failure in different degrees.
Adult ; Aged ; Humans ; Male ; Middle Aged ; Pneumoconiosis ; complications ; therapy ; Positive-Pressure Respiration ; Respiratory Insufficiency ; etiology ; therapy
7.Exploring the effect of embolization of bronchial artery in patients with pneumoconiosis massive hemoptysis.
Qianzhong LIU ; Wei ZHANG ; Zhihui ZHANG
Chinese Journal of Industrial Hygiene and Occupational Diseases 2015;33(5):378-379
OBJECTIVETo explore the effect of embolization of bronchial artery (BAE) in patients with pneumoconiosis massive hemoptysis.
METHODS49 patients with pneumoconiosis massive hemoptysis in observation group were underwent BAE, and 66 patients with pneumoconiosis hemoptysis in control group were cured with internal medicine. The rate of hemoptysis recurrence and controlling were counted during a year follow up.
RESULTSThe rate of hemoptysis recurrence in observation group was 18.8% (9/48), and in control group was 35.9% (23/64) during a year follow up, there was a significant difference (P < 0.05). The rate of massive hemoptysis recurrence in the both group were 4.2% (2/48) and 9.3% (6/64) respectively, there was not a significant difference (P > 0.05).
CONCLUSIONBAE is an effective technique in patients with pneumoconiosis massive hemoptysis.
Bronchial Arteries ; Embolization, Therapeutic ; Hemoptysis ; therapy ; Humans ; Pneumoconiosis ; therapy ; Recurrence ; Treatment Outcome
9.Clinical analysis of pneumonoconiosis complicated with spontaneous pneumothorax.
Ying LI ; Xiong-bin XIAO ; Lei HUANG ; Fang-kun TANG
Chinese Journal of Industrial Hygiene and Occupational Diseases 2012;30(7):531-533
OBJECTIVETo study the clinical characteristics and treatment method of pneumonoconiosis with spontaneous pneumothorax.
METHODSThe clinical data of 55 cases with spontaneous pneumothorax were analyzed.
RESULTSAmong these 55 cases, there were 19 cases with left side pneumothorax, 25 cases with right side pneumothorax and 11 cases with bilateral pneumothorax. The lungs of 17 cases were compressed to less than 20%, the lungs of 29 cases were compressed to 20% ∼ 50% and the lungs of 9 cases were compressed to more than 50%, 17 cases were treated conservatively, 7 cases were treated by thoracentesis, and 32 cases were treated by closed thoracic drainage, including 10 cases intrapleural injected with thrombin and PAMBA. After the treatment, 41 cases were cured, 10 cases were improved, 3 cases were transferred to other hospital for plugging or pleurodesis and 1 case died of the respiratory failure.
CONCLUSIONThe clinical symptoms of cases with pneumonoconiosis and spontaneous pneumothorax are atypical. These cases easily recur. After treatment, the healing of these cases is better.
Adult ; Humans ; Male ; Middle Aged ; Pneumoconiosis ; complications ; diagnosis ; therapy ; Pneumothorax ; complications ; diagnosis ; therapy