甲强龙在海水溺水致急性肺水肿院前急救中的效果观察  

Observation on the effect of methylprednisolone in pre-hospital emergency treatment of acute pulmonary edema caused by seawater drowning

作　　者：孙玉红 SUN Yu-hong(Dalian Emergency Center,Dalian 116021,China)

机构地区：[1]大连市急救中心,116021

出　　处：《中国实用医药》2022年第6期149-151,共3页China Practical Medicine

摘　　要：目的研究海水溺水致急性肺水肿患者院前急救中采取甲强龙治疗的效果。方法24例海水溺水致急性肺水肿患者,均采取甲强龙治疗。比较患者治疗前后呼吸频率、心率、指脉血氧饱和度,分析患者治疗效果。结果治疗后,患者呼吸频率(23.12±3.13)次/min、心率(107.38±4.37)次/min均明显低于治疗前的(36.54±5.43)、(144.23±7.77)次/min,差异均有统计学意义(P<0.05)。治疗后,患者指脉血氧饱和度为(95.33±5.12)%,高于治疗前的(78.32±3.37)%,差异具有统计学意义(P<0.05)。治疗后,24例患者中无抢救无效死亡;20例神志清楚,无并发症发生,2例轻微呼吸困难,2例存在轻微咳嗽,采取针对性措施后,症状均好转。无心跳、呼吸突然停止等意外发生,自主呼吸恢良好,血压维持在>90/60 mm Hg(1 mm Hg=0.133 kPa)。结论在院前急救中对海水溺水致急性肺水肿患者采取甲强龙治疗能够及时改善患者呼吸频率和心率、指脉血氧饱和度,保障患者生命安全,治疗效果显著,值得推广采纳。Objective To study the effect of methylprednisolone in pre-hospital emergency treatment of acute pulmonary edema caused by seawater drowning.Methods All 24 patients with acute pulmonary edema caused by seawater drowning were treated with methylprednisolone.The respiratory rate,heart rate,and finger pulse oxygen saturation of patients were compared before and after treatment,and the therapeutic effect of the patients was analyzed.Results After treatment,the respiratory rate(23.12±3.13)times/min and heart rate(107.38±4.37)beats/min were significantly lower than(36.54±5.43)times/min and(144.23±7.77)beats/min before treatment,and the differences were statistically significant(P<0.05).After treatment,the finger pulse oxygen saturation was(95.33±5.12)%,which was higher than(78.32±3.37)%before treatment,and the difference was statistically significant(P<0.05).After treatment,none of the 24 patients died due to ineffective rescue;20 cases had clear consciousness,2 cases had mild dyspnea,2 cases had mild cough,and all the symptoms improved after taking corresponding measures.There were no complications and accidents such as sudden cardiac or respiratory arrest,good recovery of spontaneous breathing,and blood pressure maintained at>90/60 mm Hg(1 mm Hg=0.133 kPa).Conclusion Methylprednisolone treatment has significant effect in the pre-hospital emergency treatment of patients with acute pulmonary edema caused by seawater drowning,and can timely improve the patient’s respiratory rate,heart rate,and blood oxygen saturation in the finger pulse,and ensure the safety of the patients,which is worthy of promotion and adoption.

关 键 词：甲强龙 溺水 院前急救 治疗效果 呼吸状况 

分 类 号：R459.7[医药卫生—急诊医学]