Objective To study the effect of noninvasive pressure venrilation(NIPPV) on the treatment of acute exacerbarions of chronic obstructive pulmonary disease(COPD) with typeⅡrespiratory failure. Methods 46 cases of COPD were selected to treat with NIPPV in our hospital from 2001 January to 2005 May. The data in arterial blood gas(pH,PaO2,PaCO2),the course of disease in the hospital,the rate of endotracheal intubation, the mortality of the patients in NIPPV were analyzed and compared with those of the patients without NIPPV treatment before. Results The datas in arterial blood gas had been imprived significantly in NIPPV after 24h.The couse of disease in hospital was significantly shkrter,and the rate of endotracheal intubation and mortality of the patients was significantly lower in NIPPV than those in no NIPPV. There was remarkably difference between two groups. In NIPPV, the rate of endotracheal intubation were significantly lower in light and moderate trspiratkry failure than those in severe respiratory failure(P

Objective To investigate the pollution situation of ventilation systems of centralized air-conditioners in public areas and to present the data for hygiene management. Methods 20 ventilating systems of air-conditioners from six 3-star or above hotels in Nanning were selected randomly and the hygienic inspection on these samples was performed including the indexes of PM10, aerobic bacterial count, aerobic molds count, dust capacity of inner-wind duct surface and microbial as well as the legionella in cooling tower water. Results The total count of aerobic bacterial in breeze of air-conditioner was rather serious, the over-standard rate was 66.7%. The over-standard rate of PM10 was 16.7%. Dust content of inner-wind duct surface was rather high with the average value of 46.33 g/m2 and the over-standard rate was 83.3%, the over-standard rate of total count of aerobic molds in it was 100%, the highest value was 145.3 times of the standard limit. The over-standard rate of total bacterial count in inner-wind duct surface was 16.7%. The legionella pneumophila was detected in one of the six samples. Conclusion The cleaning and disinfection of ventilation system of centralized air-conditioners in star grade hotels is not thorough in Nanning and the pollution of microbial is rather serious. so the hygienic management must be strengthened.