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目的:研究无创双水平气道正压通气在急性心肌梗死合并急性左心功能衰竭中的治疗作用。方法对18例急性心肌梗死合并急性左心衰(Killip分级III级以上)而常规治疗无效患者,用BiPAP治疗,观察疗效并比较治疗前后的呼吸、心率及血气分析指标。结果1.所有患者均能较好耐受,其中15例病情好转,3例无明显好转。2.治疗前后呼吸、心率、血压及血气分析有显著性差异。结论常规治疗无效的急性心肌梗死合并急性左心衰患者,BiPAPO痛苦小,费用低,疗效确切,具有良好的经济及社会效益。
Objective: To study the therapeutic effect of non-invasive bi-level positive airway pressure ventilation in acute myocardial infarction with acute left heart failure. Methods 18 patients with acute myocardial infarction complicated with acute left heart failure (Killip grade III or above) were treated with BiPAP, and the curative effect was observed. The respiration rate, heart rate and blood gas analysis index were compared before and after treatment. Results 1. All patients were well tolerated, of which 15 patients improved, 3 patients without significant improvement. 2. Before and after treatment of respiration, heart rate, blood pressure and blood gas analysis were significantly different. Conclusion Conventional treatment of acute myocardial infarction with acute left heart failure in patients with acute, BiPAPO little pain, low cost, effective, with good economic and social benefits.