经面罩机械通气在重症急性左心衰竭中的应用  

Face Mask Mechanical Ventilation for Treatment of Severe Acute Left Herar Failure

作　　者：顾俭勇[1] 童朝阳[1] 黄培志[1] 

机构地区：[1]复旦大学附属中山医院急诊科,上海200032

出　　处：《中国临床医学》2008年第6期764-765,共2页Chinese Journal of Clinical Medicine

摘　　要：目的:研究经面罩机械通气(FMMV)对重症急性左心衰竭患者的治疗效果。方法:回顾分析56例重症急性左心衰竭患者FMMV后的效果(治疗组),并与传统药物治疗方法(对照组)56例比较,观察患者心率、呼吸频率、动脉血气等变化。结果:治疗组患者均能教好地耐受FMMV。2h后49例呼吸困难等临床症状明显改善,心率由(136±14)次.min-1降至(89±10)次.min-1(P<0.05),呼吸频率由(38±4)次.min-1降至(26±3)次.min-1(P<0.05),PaO2由(50.10±8.70)mmHg上升至(92.50±10.20)mmHg(P<0.05),而对照组治疗前后临床症状与动脉血气变化不明显,两组比较均有统计学差异(P<0.05)。结论:与用传统药物治疗方法相比,FMMV可迅速纠正低氧血症,改善重症急性左心衰竭患者的循环和呼吸功能。Objective： To observe therapeutic effects of severe acute left heart failure with face mask mechanical ventilation （FMMV）. Methods： A case control study was designed： 56 severe acute left heart failure patients received FMMV in treated group,while 56 cases with comparable baseline datum in control group received medications therapy. The clinic symptoms, signs and artery blood gases were analyzed. Results： The respiratory rates of treated group decreased from（38 ± 4）/min to （26±3）/min（P〈0. 05） ,heart rates of treated group decreased from （136 ＋ 14）/min to （89± 10）/min（P〈0.05）, the PaO2 of treated group rose from （50. 10± 8.70）mmHg to（92.50 ± 10.20）mmHg（P〈0.05）. Conclusion：Based on these datum FMMV has proved beneficial and quickly improvement in cardiac function and pulmonary function in severe acute left heart failure.

关 键 词：急性心力衰竭 机械通气 

分 类 号：R541.6[医药卫生—心血管疾病]