Wang Yu-Jyuan, Liao Chieh-Yin, Kao Chi-Wen
School of Nursing, National Defence Medical Center.
Hu Li Za Zhi. 2012 Feb;59(1):24-9.
Cardiogenic pulmonary edema (CPE) is a clinical health problem that induces impaired gas exchange, dyspnea and hypoxia. This serious condition results in acute respiratory failure and high mortality rate. This article suggests an effective approach to CPE patient clinical symptom assessment and management. In accordance with evidence-based methods, we searched Cochrane, CINAHL and ScienceDirect and identified four Oxford Ia or Ib reports that employed a randomized controlled trial, systematic review and meta-analysis. Results suggest that prompt application of a non-invasive positive ventilator, especially continuous positive or bi-level positive airway pressure, can help patients reduce intubation risks, ICU stay days, and mortality rates. The authors hope to see more clinical trials on this topic to support evidence-based clinical nursing care.
心源性肺水肿（CPE）是一种导致气体交换受损、呼吸困难和缺氧的临床健康问题。这种严重情况会导致急性呼吸衰竭和高死亡率。本文提出了一种针对CPE患者临床症状评估和管理的有效方法。按照循证方法，我们检索了考克兰图书馆、护理学与健康领域数据库（CINAHL）和科学Direct数据库，并确定了4篇采用随机对照试验、系统评价和荟萃分析的牛津Ia或Ib级报告。结果表明，及时应用无创正压通气设备，尤其是持续气道正压通气或双水平气道正压通气，可帮助患者降低插管风险、缩短重症监护病房（ICU）住院天数并降低死亡率。作者希望看到更多关于该主题的临床试验，以支持循证临床护理。
