“120”出诊中急性左心衰的救治体会 |
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引用本文: | 张晓君,吕海琳,郝鸿媛.“120”出诊中急性左心衰的救治体会[J].中国航天工业医药,2012(5):65-67. |
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作者姓名: | 张晓君 吕海琳 郝鸿媛 |
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作者单位: | 山东省青岛市骨伤科医院急诊科,266600 |
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摘 要: | 目的探讨“120”出诊中急性左心衰竭的救治措施。方法回顾分析34例急性左心衰竭的出诊病例,均经过了病情快速判断、心理安抚、吸氧、辅助端坐体位、心电监护、急救药物治疗、正确转运等处理,少部分患者进行了电除颤、心肺复苏治疗。结果34例患者经过急救处理后病情均不同程度的得到了缓解,安全到达医院者31例,急救有效率91.18%。结论急性左心衰竭是常见的危急重症。提高急救意识、熟练抢救方法、医护担架工积极配合、完善的抢救设备是提高抢救有效率的保证。另外,与患者及家属的积极有效沟通也至关重要,可有效减少医患纠纷。
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关 键 词: | 120 急性左心衰 |
Experience in treatment of acute left heart failure in 120 out-call |
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Authors: | Zhang Xiaojun Lv Hailin Hao Hongyuan |
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Institution: | .Orthopedics and Traumatology Hospital of Qingdao , Qingdao 266600 |
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Abstract: | Objective To discuss the rescue measures in 120 out-call. Methods Reviewed and analysed thirty-four cases of acute left heart failure that all were treated faster judgement,phychological treatment,oxygen, assisting-sit,ECG monitoring,medicine and transfered correctly. Few of them were treated shock defibrillation and cardio pulmonary resuscitation. Results Above-mentioned treatments were effective for all of the cases and thiry-one of them were transfered to hospital safely. The effective rate was 91.18%. Conclusion Acute left heart failure is a critical disease. Strengthening the emergency awareness, skilling the emergency methods,positive cooperation of all the staffs and perfect equipments are guarantees to enhance the effective rate. In addition,to reduce physician-patient disputes,the doctor should communicate actively with the patients and their family members. |
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Keywords: | 120 Acute left heart failure |
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