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急性左心功能衰竭患者无创呼吸护理
引用本文:王雅莉,游桂英. 急性左心功能衰竭患者无创呼吸护理[J]. 华西医学, 2012, 0(6): 918-920
作者姓名:王雅莉  游桂英
作者单位:四川大学华西医院心脏内科
摘    要:目的加强对急性左心功能衰竭患者的无创呼吸护理,确保救治安全和提高治疗效果。方法对2011年1月-9月收治的急性左心功能衰竭且应用无创呼吸机治疗的57例患者,采取相关应对措施进行系统性护理干预。结果 5例患者因病情加重改行气管插管,52例经使用无创呼吸机治疗后,其病情稳定转出心脏病监护病房。治疗中2例配合较差,7例出现腹胀,2例发生鼻面部压迫性损伤。结论对症有效的护理干预措施对救治急性左心功能衰竭患者生命,提升无创呼吸的舒适感和医从性,降低相关并发症有积极作用。

关 键 词:急性左心功能衰竭  无创呼吸机  护理

Nursing Care of Acute Left Heart Failure Patients with Non-invasive Positive Pressure Ventilation
WANG Ya-li,YOU Gui-ying. Nursing Care of Acute Left Heart Failure Patients with Non-invasive Positive Pressure Ventilation[J]. West China Medical Journal, 2012, 0(6): 918-920
Authors:WANG Ya-li  YOU Gui-ying
Affiliation:.Department of Cardiology,West China Hospital,Sichuan University,Chengdu,Sichuan 610041,P.R.China
Abstract:Objective To strengthen the care of acute left heart failure patients with non-invasive positive pressure ventilation(NPPV),in order to improve the treatment safety and efficacy.Methods Fifty-seven patients with acute left heart failure who were admitted into hospital between January and September 2011,received systematic nursing interventions.Results Five patients exacerbated and received tracheal intubation;52 patients improved and left the cardiac care unit.Two patients had poor cooperation with NPPV.Seven had abdominal distension,and 2 other patients had compression injury on the nose and face.Conclusion Effective systematic nursing intervention plays an important role in enhancing comfort and compliance,and reducing NPPV-related complications for patients with acute left heart failure.
Keywords:Acute left heart failure  Non-invasive positive pressure ventilation  Nursing care
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