无创正压通气治疗急性心肌梗死并发急性肺水肿的疗效观察

目的探讨无创正压通气治疗急性心肌梗死并发急性肺水肿的疗效。方法43例急性心肌梗死并发急性肺水肿患者,在常规治疗无效的的基础上采用BiPAPST-D-30呼吸机经鼻罩双向正压通气治疗。观察治疗前后患者血气分析、血压、心率和呼吸频率的变化。结果给予经鼻面罩BiPAP通气治疗后40例患者呼吸频率、心率、血压、血气分析等指标明显改善,3例无效改为气管插管。BiPAP治疗总有效率为93%。结论无创正压通气可迅速改善急性心肌梗死患者的心功能,改善肺水肿和低氧血症。

To investigate the effect of noninvasive positive-pressure respiration on acute myocardial infarction with acute pulmonary edema

Objective To investigate the effect of noninvasive positive-pressure respiration on acute myocardial infarction with acute pulmonary edema. Methods 43 patients of acute myocardial infarction with acute pulmonary edema received BiPAP mechanical ventilation treatment when the conservative treatment was not effective. Before and after treatment, the blood gas index, blood pressure, heart rate and breathing rate were recorded. Results Breathing rate, heart rate, blood pressure and the blood gas index of 40 patients were found to be significantly improvered after using BiPAP ventilation by nasal mask. The symptom of 3 patients deteriorated and changed tracheal intubation. The effiency rate of BiPAP ventilation is 93%. Conclusion BiPAP mechanical ventilation can more rapidly improved cardiac function, pulmonary edema and hypoxemia with acute myocardial infarction.