急诊应用呼吸机治疗重症急性左心衰竭的价值  

The Value of Emergency Application of Ventilator in the Treatment of Severe Acute Left Heart Failure

作　　者：张琛[1] 沈文娟[2] 曾伯石 ZHANG Chen;SHEN Wenjuan;ZENG Boshi(Department of Emergency,Xiaogan Central Hospital, Xiaogan Hubei 432000, China;Department of Critical Care Medicine,Xiaogan Central Hospital, Xiaogan Hubei 432000, China)

机构地区：[1]湖北省孝感市中心医院急诊科,湖北孝感432000 [2]湖北省孝感市中心医院重症医学科,湖北孝感432000

出　　处：《中国继续医学教育》2019年第30期93-95,共3页China Continuing Medical Education

摘　　要：目的研究探讨急诊应用呼吸机治疗重症急性左心衰竭的价值。方法本次研究以选取我院2017 年1 月—2018 年6 月收治的患者作为研究对象,观察组40 例患者给予呼吸机治疗,对照组给予常规治疗,分析呼吸机治疗的价值,并对比两组的疗效。结果观察组的有效率为95.0%,对照组的为75.0%,差异有统计学意义(P < 0.05);治疗后观察组pH、PaO2 上升幅度及PaCO2 下降幅度均高于对照组(P < 0.05)。结论对重症急性左心衰竭患者进行呼吸机治疗,效果显著,可以增强疗效,改善呼吸功能,纠正缺血缺氧,值得在今后的治疗中推广。Objective Study on the value of emergency application of ventilator in the treatment of severe acute left heart failure. Methods In this study, 80 patients with severe acute left heart failure who were admitted from January 2017 to June 2018 were randomly divided into the control group and the observation group, 40 patients in each group. The control group received routine treatment and the observation group was given a ventilator. Treatment, analysis of the value of ventilator therapy, and comparison of the efficacy of the two groups. Results The effective rate was 95.0% in the observation group and 75.0% in the control group, the difference was statistically significant (P < 0.05);after treatment, the pH, PaO2 and PaCO2 in the observation group were all better than those in the control group (P < 0.05).Conclusions The ventilator treatment for patients with severe acute left heart failure has significant effects, which can enhance the curative effect, improve respiratory function, and correct ischemia and hypoxia. It is worthy of promotion in future treatment.

关 键 词：急诊 呼吸机 重症 急性左心心力衰竭 价值 观察 

分 类 号：R541[医药卫生—心血管疾病]