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目的探讨急性左心衰患者的抢救经验。方法回顾性分析132例急性左心衰患者的临床资料,抢救治疗时予端坐位、吸氧、镇静、利尿、强心、扩张血管、消泡沫及无创正压通气等综合措施。结果 119例患者心衰迅速纠正,用药至症状缓解平均时间为(61±23)min,用药至症状消失平均时间为(122±41)min,抢救成功率为90.15%,死亡13例,住院病死率为9.85%。结论综合抢救措施对急性左心衰抢救成功率较高,其中抢救措施的具体个体化尤为重要。
Objective To investigate the rescue experience of patients with acute left heart failure. Methods The clinical data of 132 patients with acute left heart failure were retrospectively analyzed. Comprehensive measures such as sitting, oxygen inhalation, sedation, diuretic, cardiotonic, dilation of blood vessels, defoaming and noninvasive positive pressure ventilation during the treatment were retrospectively analyzed. Results The mean time to symptom relief was (61 ± 23) min in 119 patients, and the mean time to disappearance of symptoms was (122 ± 41) min after treatment. The success rate of rescue was 90.15%, 13 deaths, The rate is 9.85%. Conclusion The comprehensive rescue measures have a high success rate in the rescue of acute left heart failure, and the specific individualization of the rescue measures is particularly important.