CAJ | 학술논문

目的：分析有创机械通气救治老年急性左心衰的临床疗效。方法分析我院2011年10月~2013年10月收治的42例老年急性左心衰竭患者，行有创压力支持联合呼气末正压机械通气治疗，比较患者的临床疗效以及治疗前后患者的心率、血压、呼吸频率、血氧饱和度。结果本组42例患者中有效83.3%（35/42）。死亡16.7%（7/42）。死亡原因，1例为室性心动过速，5例心源性休克合并多脏器功能衰竭，1例为顽固性无脉性心衰。治疗后8h、24h比较，与治疗前比较，HR、舒张压、收缩压、R、SpO2水平变化在统计学上有显著意义（P＜0.05）。结论有创机械通气治疗急性左心衰竭能够及时有效地缓解急性左心衰所致症状，有效抢救老年急性左心衰竭。
목적：분석유창궤계통기구치노년급성좌심쇠적림상료효。방법분석아원2011년10월~2013년10월수치적42례노년급성좌심쇠갈환자，행유창압력지지연합호기말정압궤계통기치료，비교환자적림상료효이급치료전후환자적심솔、혈압、호흡빈솔、혈양포화도。결과본조42례환자중유효83.3%（35/42）。사망16.7%（7/42）。사망원인，1례위실성심동과속，5례심원성휴극합병다장기공능쇠갈，1례위완고성무맥성심쇠。치료후8h、24h비교，여치료전비교，HR、서장압、수축압、R、SpO2수평변화재통계학상유현저의의（P＜0.05）。결론유창궤계통기치료급성좌심쇠갈능구급시유효지완해급성좌심쇠소치증상，유효창구노년급성좌심쇠갈。
ObjectiveTo analyze the clinical curative effect of senile acute left heart failure by invasive mechanical ventilation.Methods42 cases of acute left heart failure patients in our hospital from 2011 October to 2013 October were analyzed and treated by the method of invasive pressure support combined with mechanical ventilation with positive end expiratory pressure. The clinical efficacy before and after treatment, blood pressure, heart rate, patients with respiratory rate, oxygen saturation of all patients were compared.ResultsThe effective rate and the mortality rate were 83.3% (35/42)and 16.7% (7/42) in all patients. The causes of death were ventricular Beckoning tachycardia(1 cases), cardiogenic shock complicated with multiple organ failure(5 cases) and intractable pulseless heart failure(1 cases). The comparisons of HR, diastolic blood pressure, systolic blood pressure, R and SpO2 levels of 8h and 24h after treatment were statistically significant (P< 0.05).Conclusion Invasive mechanical ventilation in the treatment of acute left heart failure can effectively relieve acute left heart failure symptoms, and can be an effective treatment in elderly acute left heart failure.