急性左心衰48例院前急救临床分析

The clinical analysis of first aid outside hospital in 48 patients with acute left heart failure

目的:探讨急性左心衰院前急救方法及临床效果。方法:对急性左心衰患者现场给予吸氧、镇静、强心、扩管、利尿等抢救处理后的临床资料进行总结分析。结果:经院前急救及合理转运,治疗有效率83.3%,最终95.8%患者安全转运至医院。结论:证明院前急救能较早改善急性左心衰患者的功能,阻止病情恶化,并安全转运至医院。

Objective： To investigate the methods and clinical efficacy of first aid outside hospital in patients with acute left heart failure. Method：Patients with acute left heart failure were treated using such measures： oxygen inhalation, calm, cardiac, vasodilator, diuresis. The clinical data were analyzed after emergency treatment. Result：The treatment efficiency was 83.3 % after first aid and reasonable transfer. 95.8 % patients were transported to the hospital safely. Conclusion：First aid outside hospital may improve the function of heart early. It can pre- vent the condition of disease from deteriorating and reduce the mortality. It can help the patients to transport to hospital safely.