论文部分内容阅读
目的探究有创机械通气在重症急性心源性肺水肿中的应用观察。方法选自2010年2月至2012年2月期间收治的30例重症ACPE患者,传统常规给药,再给予有创机械通气。结果有效率为86.7%,呼吸困难得以改善,肺部湿罗音消失,口唇发绀改善。通气2h,与治疗前各项指标对比较均得以明显改善,具有可比性,P<0.01。平均好转时间7.7±1.3h平均机械通气时间为6.1±0.3d,死亡原因为多脏器功能衰竭、心源性休克、感染性心内膜炎。结论对重症急性心源性肺水肿(ACPE)患者,给予有创机械通气治疗,能够有效改善患者临床症状及各项指征,临床效果较好,值得在临床应用和推广。
Objective To investigate the application of invasive mechanical ventilation in severe acute cardiogenic pulmonary edema. Methods From February 2010 to February 2012, 30 cases of severe ACPE patients were treated by conventional administration and then with invasive mechanical ventilation. The results of an effective rate of 86.7%, dyspnea can be improved, the lungs wet rales disappear, lip cyanosis improved. Ventilation 2h, compared with the indicators before treatment were significantly improved, comparable, P <0.01. The average time to improve 7.7 ± 1.3h average time of mechanical ventilation was 6.1 ± 0.3d, the cause of death was multiple organ failure, cardiogenic shock, infective endocarditis. Conclusion In patients with severe acute cardiogenic pulmonary edema (ACPE), mechanical ventilation is given, which can effectively improve the clinical symptoms and indications of patients. The clinical effect is good, which is worthy of clinical application and promotion.