摘要
目的:探讨肺水肿的急救措施,提高对该类患者的抢救水平。方法:2008年10月至2012年10月在医院急诊科就诊的肺水肿患者43例,其中心源性肺水肿28例,非心源性肺水肿15例。心源性肺水肿采用利尿、强心、扩管、镇静方案,非心源性肺水肿采用解痉平喘、利尿、减少肺泡渗出、解毒、抗过敏治疗方案。结果:心源性肺水肿抢救有效率85.7%,其中单纯药物治疗有效率67.8%。非心源性肺水肿抢救有效率86.7%,单纯药物治疗有效率66.7%。结论:对肺水肿患者救治时应争分夺秒,正确的现场处理,针对不同病因采取有区别的治疗措施,才能有效救治患者。
Objective:To investigate the effect of emergency measures of the pulmonary edema,in order to improve the clinical level.Methods: 43 patients with pulmonary edema were collected from 2008 October to 2012 October in the emergency department,including 28 cases cardiogenic pulmonary edema,15 cases non cardiogenic pulmonary edema.cardiogenic pulmonary edema were treated with Diuresis,improving cardiac function,dilation of blood vessels,calm.non cardiogenic pulmonary edema were treated with with Relieing bronchial spasm and asthma,diuretic,reducing alveolar exudate,detoxification,allergy.Results: Cardiogenic pulmonary edema treatment effective rate was 85.7%,in which simple drug treatment efficiency 67.8%.Non cardiogenic pulmonary edema treatment effective rate was 86.7%,single drug treatment effective rate 66.7%.Conclusion: The treatment of the pulmonary edema should seize every minute and second,dealing with the right site,taking different measures of treatment according to different causes,in order to effectively treat patients.
关键词
肺水肿
急救
治疗
分析
pulmonary edema
emergency
treatment
analysis
