| 有创机械通气辅助治疗急性左心衰的应用体会 |
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| 引用本文： | 栗洁.有创机械通气辅助治疗急性左心衰的应用体会[J].岭南心血管病杂志,2009,15(1). |
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| 作者姓名： | 栗洁 |
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| 作者单位： | 浙江省奉化市人民医院重症监护室,浙江奉化,315500 |
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| 摘 要： | 目的 观察有创机械通气辅助治疗急性左心衰的治疗效果.方法 回顾性分析25例经有创机械通气治疗的急性左心衰患者的临床资料,比较机械通气治疗前后患者的心率、呼吸频率、血压、血气分析及血流动力学的变化.结果 机械通气治疗2 h后,患者上述观察指标均较治疗前显著好转.21例患者(成功组)有创机械通气撤机成功,总有效率为84.0%(21/25);4例患者(失败组)有创机械通气撤机失败,3例死亡,病死率为12.0%(3/25).1例撤机失败转外科.成功组心排血量(cardiac output,CO)和心排血指数(cardiac index,CI)较失败组明显改善.2组间年龄、机械通气时间比较,差异无统计学意义(P>0.05),而急性生理学及慢性健康状况评分Ⅱ(acute physiology and chronic health evaluation Ⅱ,APACHE Ⅱ)评分比较,差异有统计学意义(P<0.05).结论 有创机械通气治疗是抢救急性左心衰的有效辅助治疗措施.
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| 关 键 词： | 肺通气 心力衰竭 充血性 低氧血症 呼吸功能不全 |
The value of invasive mechanical ventilation on adjunctive therapy of severe acute left heart failure |
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| LI Jie.The value of invasive mechanical ventilation on adjunctive therapy of severe acute left heart failure[J].South China Journal of Cardiovascular Diseases,2009,15(1). |
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| Authors: | LI Jie |
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| Institution: | Department of Intensive Care Unit;Fenghua People's Hospital;Fenghua Zhejiang 315500;China |
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| Abstract: | Objectives To evaluate the effects of invasive mechanical ventilation on adjunctive therapy of severe acute left heart failure. Methods Twenty-five patients with acute left heart failure admitted to the intensive care unit ( ICU) were investigated retrospectively. All patients received mechanical ventilation. Changes of heart rate,respiratory rate,blood pressure,blood gas analysis and cardiopulmonary management system were observed. Results Most patients were improved apparently with invasive mechanical ven... |
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| Keywords: | lung ventilation congestion cardiac failure mionectic blood respiratory insufficiency |
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