CAJ | 학술논문

目的：探讨重症心力衰竭(HF)患者应用无创呼吸机治疗护理方式。方法：108例HF患者,男65例,女43例,年龄41～85岁,监测患者生命体征和血氧饱和度在65%～90%者,遵医嘱给予药物和无创呼吸机治疗,同时,给予患者精心护理,护理方式包括：无创呼吸机使用的指导和观察、上机前的解释沟通和告知、患者并发症的预防和护理等。结果：108例HF患者经药物和无创呼吸机治疗3～9d,平均(7.2±2.7)d,好转脱机99例,3例死于心律失常(室颤),4例病情加重,给予气管插管、有创呼吸机辅助呼吸,病情好转,2例死于多个脏器衰竭,主要并发症是胃肠胀气和排痰不畅。结论：重度HF患者应用无创呼吸机治疗已成为一项必不可少的治疗措施,应用时要注意原发病的有效控制,监测电解质；对患者认真细致的观察和护理是保障此项治疗顺利进行的的关键。
목적：탐토중증심력쇠갈(HF)환자응용무창호흡궤치료호리방식。방법：108례HF환자,남65례,녀43례,년령41～85세,감측환자생명체정화혈양포화도재65%～90%자,준의촉급여약물화무창호흡궤치료,동시,급여환자정심호리,호리방식포괄：무창호흡궤사용적지도화관찰、상궤전적해석구통화고지、환자병발증적예방화호리등。결과：108례HF환자경약물화무창호흡궤치료3～9d,평균(7.2±2.7)d,호전탈궤99례,3례사우심률실상(실전),4례병정가중,급여기관삽관、유창호흡궤보조호흡,병정호전,2례사우다개장기쇠갈,주요병발증시위장창기화배담불창。결론：중도HF환자응용무창호흡궤치료이성위일항필불가소적치료조시,응용시요주의원발병적유효공제,감측전해질；대환자인진세치적관찰화호리시보장차항치료순리진행적적관건。
Objective: Discussion with severe heart failure(HF) patients noninvasive ventilator treatment and care methods. Methods:108 cases of HF patients, 65 males and 43 females, aged 41 to 85 years of age, vital signs and oxygen saturation monitoring of patients in 65%~90%who give drugs prescribed and non-invasive ventilator treatment, while giving intensive care patients, nursing methods include:guidance and observation of non-invasive ventilator used to explain the machine in front of the ditch pass and inform patients, patient care and prevention of complications. Results:108 cases of patients with HF drugs and non-invasive ventilator treatment for 3~9 days, on average(7.2±2.7)days, the better off 99 cases, 3 patients died of cardiac arrhythmia(ventricular fibrillation), four cases of exacerbations, given endotracheal tubes, invasive mechanical ventilation, her condition improved, 2 patients died of multiple organ failure, the main complication is flatulence and poor expectoration. Conclusions:Severe HF patients with noninvasive ventilator therapy has become an essential treatment, pay attention to the effective control of the application of the primary disease, monitoring of electrolytes;careful observation of the patient is to protect and care for the smooth conduct of this treatment the key.