论文部分内容阅读
目的:探讨机械通气治疗急性重症左心衰竭的疗效及临床价值。方法:对38例急性重症左心衰竭患者经药物治疗无效或效果较差时及时经喉罩置入气管插管给予呼吸机支持治疗,观察治疗前和治疗后1 h的临床表现、血气结果和临床预后。结果:38例经机械通气治疗1 h后缺氧症状和血气指标明显改善(P<0.05),31例平均住院(14.8±5.5)天好转出院;7例急性左心衰竭好转后于1周内死于心源性休克、心律失常和多器官功能衰竭。结论:经喉罩置入气管插管、机械通气联合足量吗啡救治急性重症左心衰疗效好。
Objective: To investigate the efficacy and clinical value of mechanical ventilation in the treatment of acute severe left heart failure. Methods: Thirty-eight patients with acute severe left heart failure were treated with ventilator support after laryngeal mask intubation through the laryngeal mask when the drug treatment was ineffective or ineffective. The clinical manifestations, blood gas results and Clinical prognosis. Results: The hypoxia symptoms and blood gas indexes were significantly improved in 38 cases treated with mechanical ventilation for 1 hour (P <0.05), and the mean hospital stay (14.8 ± 5.5) days were improved in 31 cases. After 7 cases of acute left heart failure improved, Died of cardiogenic shock, arrhythmia and multiple organ failure. Conclusion: The tracheal intubation through the laryngeal mask, mechanical ventilation combined with adequate morphine for acute severe left heart failure effective.