中国社区医师
中國社區醫師
중국사구의사
Chinese Community Doctors
2014年
35期
41-42
,共2页
急性左心衰竭%无创正压通气%探讨
急性左心衰竭%無創正壓通氣%探討
급성좌심쇠갈%무창정압통기%탐토
Acute left heart failure%Noninvasive positive pressure ventilation%Discussion
目的：探讨无创正压通气(NIPPV)治疗急性左心衰的疗效。方法：收治急性左心衰患者16例，常规治疗半小时症状无改善的加用无创正压通气，观察通气前后的临床症状和相关指标变化，并做统计学处理和分析。结果：15例患者经治疗后症状缓解，仅1例合并严重的肺部感染治疗无效，总有效率93.7%。结论：急性左心衰治疗初期是应用无创正压通气的最佳时机，临床见效快，并且成功率高，是一种快速安全有效的抢救方法，可供临床选择应用。
目的：探討無創正壓通氣(NIPPV)治療急性左心衰的療效。方法：收治急性左心衰患者16例，常規治療半小時癥狀無改善的加用無創正壓通氣，觀察通氣前後的臨床癥狀和相關指標變化，併做統計學處理和分析。結果：15例患者經治療後癥狀緩解，僅1例閤併嚴重的肺部感染治療無效，總有效率93.7%。結論：急性左心衰治療初期是應用無創正壓通氣的最佳時機，臨床見效快，併且成功率高，是一種快速安全有效的搶救方法，可供臨床選擇應用。
목적：탐토무창정압통기(NIPPV)치료급성좌심쇠적료효。방법：수치급성좌심쇠환자16례，상규치료반소시증상무개선적가용무창정압통기，관찰통기전후적림상증상화상관지표변화，병주통계학처리화분석。결과：15례환자경치료후증상완해，부1례합병엄중적폐부감염치료무효，총유효솔93.7%。결론：급성좌심쇠치료초기시응용무창정압통기적최가시궤，림상견효쾌，병차성공솔고，시일충쾌속안전유효적창구방법，가공림상선택응용。
Objective:To explore the curative effect of noninvasive positive pressure ventilation in the treatment of acute left heart failure.Methods:16 patients with acute left heart failure were selected.They were given routine treatment in half an hour.For patients without improvement in symptoms were treated by noninvasive positive pressure ventilation.We observed the changes of clinical symptoms and related indexes before and after ventilation,and did statistical processing and analysis.Results:After treatment,symptoms of 15 patients were alleviated,and only 1 case with serious pulmonary infection,the treatment was ineffective. The total efficiency was 93.7%.Conclusion:For patients with acute left heart failure,early treatment is the best time for the application of noninvasive positive pressure ventilation.The onset is quick,and the success rate is high.It is a fast,safe,effective method,and it can be used for clinical selection and application.
