急性心源性肺水肿 (ACPE)是临床常见的急症 ,对于大多数患者 ,传统的强心、利尿、扩血管等治疗方法能迅速改善病情 ,但对部分难治性ACPE患者 ,传统的治疗方法常难奏效。我们应用同步间歇指令通气和呼吸末正压 (SIMV +PEEP)模式救治了 2 5例ACPE患者 ,成功 2 3例 ,死亡 2例 ,取 Acute cardioembolic pulmonary edema (ACPE) is a common clinical emergency, for the majority of patients, the traditional cardiac, diuretic, vasodilator and other treatment methods can quickly improve the condition, but for some patients with refractory ACPE, the traditional treatment methods Often difficult to work. Twenty-five patients with ACPE were treated with synchronous intermittent mandatory ventilation and positive end-expiratory pressure (SIMV + PEEP) model, 23 cases were successful and 2 died.