岭南急诊医学杂志
嶺南急診醫學雜誌
령남급진의학잡지
LINGNAN JOURNAL OF EMERGENCY MEDICINE
2015年
4期
273-274
,共2页
心源性肺水肿%重症%动脉血气指标%心功能%机械通气
心源性肺水腫%重癥%動脈血氣指標%心功能%機械通氣
심원성폐수종%중증%동맥혈기지표%심공능%궤계통기
cardiogenic pulmonary edema%severe%arterial blood gas%heart function%mechanical ventilation
目的：总结机械通气治疗重症心源性肺水肿的临床疗效。方法：回顾性分析2010年1月至2014年12月我科收治的机械通气治疗的重症心源性肺水肿患者40例的临床资料。结果：患者病情好转率87．5％（35／40），平均好转时间（7．5±0．9）h；死亡4例，死于大面积心梗合并心源性休克；治疗后患者pH、PaO2、SaO2均有明显上升，PaCO2、心率、呼吸频率、收缩压、舒张压均明显下降，P均＜0．05。结论：机械通气治疗有助于改善重症心源性肺水肿患者低氧症状、改善其心功能。
目的：總結機械通氣治療重癥心源性肺水腫的臨床療效。方法：迴顧性分析2010年1月至2014年12月我科收治的機械通氣治療的重癥心源性肺水腫患者40例的臨床資料。結果：患者病情好轉率87．5％（35／40），平均好轉時間（7．5±0．9）h；死亡4例，死于大麵積心梗閤併心源性休剋；治療後患者pH、PaO2、SaO2均有明顯上升，PaCO2、心率、呼吸頻率、收縮壓、舒張壓均明顯下降，P均＜0．05。結論：機械通氣治療有助于改善重癥心源性肺水腫患者低氧癥狀、改善其心功能。
목적：총결궤계통기치료중증심원성폐수종적림상료효。방법：회고성분석2010년1월지2014년12월아과수치적궤계통기치료적중증심원성폐수종환자40례적림상자료。결과：환자병정호전솔87．5％（35／40），평균호전시간（7．5±0．9）h；사망4례，사우대면적심경합병심원성휴극；치료후환자pH、PaO2、SaO2균유명현상승，PaCO2、심솔、호흡빈솔、수축압、서장압균명현하강，P균＜0．05。결론：궤계통기치료유조우개선중증심원성폐수종환자저양증상、개선기심공능。
Objective:To summarize the clinical efficacy of patients with severe acute cardiogenic pulmonary edema treated by mechanical ventilation. Methods:The clinical data of 40 patients with severe acute cardiogenic pulmonary edema treated by mechanical ventilation were retrospectively analyzed from Jan 2010 to Dec 2014. Results:The condition improved rate of the patients was 87.5% (35/40), with an average recovery time of (7.5 ±0.9) h. 4 cases died, the cause of death were all a large area of myocardial infarction complicated with cardiogenic shock. The pH,PaO2,SaO2 of patients were significantly increased after treatment (P<0.05). While PaCO2, heart rate, respiratory rate, systolic pressure, diastolic pressure were decreased significantly,all P<0.05. Conclusion:Mechanical ventilation contributes to the improvement of hypoxia symptoms of patients with severe acute cardiogenic pulmonary edema and improve their cardiac function.
