临床医学
臨床醫學
림상의학
CLINICAL MEDICINE
2010年
8期
15-16
,共2页
心功能衰竭%急性%无创正压通气%治疗
心功能衰竭%急性%無創正壓通氣%治療
심공능쇠갈%급성%무창정압통기%치료
Heart failure%Acute%Noninvasive positive pressure ventilation%Therapy
目的 研究无创呼吸机治疗急性左心功能衰竭的临床价值.方法 对22例经药物治疗后30 min仍无效的急性左心功能衰竭患者采用无创呼吸机通气治疗,观察患者治疗前后临床症状、体征及呼吸频率、心率、脉搏血氧饱和度(SpO2)、动脉血氧分压 (PaO2) 等的变化.结果 经无创呼吸机治疗后有18例症状缓解,有效率达81.8%,呼吸频率(RR)、心率(HR)较治疗前明显下降(P<0.01),SpO2、PaO2较治疗前明显上升(P<0.01),差异均有统计学意义.结论 无创呼吸机通气可作为药物治疗效果不佳的重症急性左心功能衰竭的较好治疗方法.
目的 研究無創呼吸機治療急性左心功能衰竭的臨床價值.方法 對22例經藥物治療後30 min仍無效的急性左心功能衰竭患者採用無創呼吸機通氣治療,觀察患者治療前後臨床癥狀、體徵及呼吸頻率、心率、脈搏血氧飽和度(SpO2)、動脈血氧分壓 (PaO2) 等的變化.結果 經無創呼吸機治療後有18例癥狀緩解,有效率達81.8%,呼吸頻率(RR)、心率(HR)較治療前明顯下降(P<0.01),SpO2、PaO2較治療前明顯上升(P<0.01),差異均有統計學意義.結論 無創呼吸機通氣可作為藥物治療效果不佳的重癥急性左心功能衰竭的較好治療方法.
목적 연구무창호흡궤치료급성좌심공능쇠갈적림상개치.방법 대22례경약물치료후30 min잉무효적급성좌심공능쇠갈환자채용무창호흡궤통기치료,관찰환자치료전후림상증상、체정급호흡빈솔、심솔、맥박혈양포화도(SpO2)、동맥혈양분압 (PaO2) 등적변화.결과 경무창호흡궤치료후유18례증상완해,유효솔체81.8%,호흡빈솔(RR)、심솔(HR)교치료전명현하강(P<0.01),SpO2、PaO2교치료전명현상승(P<0.01),차이균유통계학의의.결론 무창호흡궤통기가작위약물치료효과불가적중증급성좌심공능쇠갈적교호치료방법.
Objective To study the clinical value of noninvasive positive pressure ventilation (NPPV) in the treatment of acute left heart failure. Methods Twenty-two cases of acute left heart failure which were administered drug therapy for 30 minutes but ineffective were received the treatment of NPPV. The symptoms, signs and respiratory rate, heart rate, SpO2, PaO2 were observed before and after NPPV. Results After the treatment of NPPV, 18 patients were relaxed (clinical effective rate was 81.8%), respiratory rate, heart rate decreased obviously (P<0.01) and SpO2 and PaO2 increased obviously (P<0.01), there were significant differences. Conclusion NPPV is an effective therapy in severe acute left heart failure which has received the ineffective drug therapy.
