呼气末正压通气在抢救AMI并重度急性左心功能衰竭和呼吸衰竭的应用  

Positive end-expiratory pressure in the rescue AMI and severe acute respiratory failure left cardiac failure and the application

作　　者：覃云涛 

机构地区：[1]广西壮族自治区平南县人民医院ICU,广西平南537300

出　　处：《中国当代医药》2011年第35期34-36,共3页China Modern Medicine

摘　　要：目的:探讨呼气末正压(PEEP)通气在抢救急性心肌梗死(AMI)并重度急性左心衰竭和呼吸衰竭的疗效和临床应用价值。方法:将18例AMI并重度急性左心衰竭和呼吸衰竭患者行呼气末正压通气(PEEP)治疗前后的呼吸频率、心率、血气分析、血氧饱和度、氧合指数及临床表现进行分析。结果:18例AMI并重度急性左心衰竭和呼吸衰竭患者经PEEP治疗后,呼吸频率、心率、血气分析、血氧饱和度及氧合指数差异均有统计学意义(P<0.05)。结论:PEEP是抢救AMI并重度急性左心衰竭和呼吸衰竭的有效方法之一。Objective： To explore the exhale positive pressure ventilation （PEEP） in salvage acute myocardial infarction （AMI） and severe acute heart failure left and breath curative effect and clinical application value. Methods： Eighteen cases of AMI and severe acute left heart failure and respiratory failure patients do positive end-expiratory pressure （PEEP） before and after treatment, the heart rate, the frequency of breathing, blood gas analysis, blood oxygen saturation, oxygen and index and clinical manifestations were analyzed. Results： Eighteen cases of patients with AMI and severe acute respiratory failure left heart failure and the patients＇ PEEP after treatment, breathing, heart rate, blood gas analysis, blood oxygen saturation and oxygen and index had significant difference （P〈0.05）. Conclusion： PEEP is rescue AMI and severe acute respiratory failure left heart failure and one of the important one of effective method.

关 键 词：呼气末正压通气 急性左心衰竭 呼吸衰竭 重度 

分 类 号：R541.6[医药卫生—心血管疾病]