摘要
目的 :为探讨院前急性左心衰竭确定性救治方案。方法 :迅速给予吸氧、取坐位 ,静脉注射吗啡、速尿 ,迅速降低左室舒张终末压、后负荷 ;呼吸停止者给予气管插管 ;室颤时给予电除颤。结果 :院前急救 92例急性左心衰竭 ,急救成功 88例 ,急救成功率 95 .6 % ;死亡 4例 ,死亡率占 4 %。结论 :院前急救急性左心衰竭诊断明确后 ,及时实施确定性救治方案 ,能够有效降低死亡率。
Objective: To investigate the diagnosis and management of the acute heart failure.Method: Quickly apply oxygen and seat, inject morphia and furosemide depress left ventricular end-diastolic pressure and afterload. Trachea intubatton for no breathing.Defibrillation for fibrillation.Result: First aid success rate for 92 cases of the acute heart failure is 96%,death rate is4%. Conclusion: It is effect prominence after diagnosis definitude of the acute heart failure and depress death rate.
出处
《河北医学》
CAS
2004年第10期882-884,共3页
Hebei Medicine