有创机械通气辅助治疗急性左心衰55例  

Analysis of 55 patients with severe acute left heart failure treated by invasive mechanical ventilation

作　　者：董倩[1] 刘晓燕[2] 

机构地区：[1]陕西中医学院第二附属医院心内二科,陕西咸阳712000 [2]陕西中医学院附属医院心内二科,陕西咸阳712000

出　　处：《临床肺科杂志》2013年第10期1815-1817,共3页Journal of Clinical Pulmonary Medicine

摘　　要：目的探讨有创机械通气在重度急性左心衰竭(ALHF)治疗中的意义。方法对55例重度ALHF患者行经口气管插管或气管切开,采用压力支持(PSV)+呼气末正压(PEEP)模式,观察治疗前及治疗后6 h、12 h生命体征及血气分析等指标变化。结果 55例中死亡4例,有效率92.7%,机械通气后6 h、12 h患者的呼吸频率(R)、心率(HR)、血氧饱和度(SpO2)、动脉血气分析等各项指标和治疗前比较明显好转(P<0.01)。结论有创机械通气在重度ALHF治疗中的疗效肯定。Objective To explore the efficacy of invasive mechanical ventilation in the treatment of patients with severe acute left ventricular failure （ALHF）. Methods 55 patients with severe ALHF were carried out tracheal intubation or tracheotomy and adopted the mode of Pressure Support Ventilation （PSV） and positive end expiratory pressure （PEEP）. The changes of vital signs and blood gas anal- ysis were observed 6h and 12h after the treatment. Results There were 4 cases of death reported, and the effective rate was 92.7%. Some indicators like respiratory frequency （R） , heart rate （HR） , oxygen saturation degrees （ SpO2 ） and arterial blood gas were obviously improved 6h and 12h after the treatment （P 〈 0.01）. Conclusion Invasive mechanical ventilation is an effective and supportive measure in the treatment of patients with severe ALHF.

关 键 词：有创机械通气 急性左心衰竭 呼吸机 

分 类 号：R541.6[医药卫生—心血管疾病]