急性左心衰肺水肿有创通气治疗探讨

Acute Left Heart Failure Pulmonary Edema Treated with Invasive Mechanical Ventilation

目的:分析对急性左心衰肺水肿患者进行有创通气治疗的措施和效果。方法:择取笔者所在医院收治的72例急性左心衰合并肺水肿患者为研究对象,所有患者均采用气管插管和呼吸机正压通气治疗,监测和记录患者治疗前后各项指征变化。结果:治疗后收缩压、呼吸频率、心率均明显低于治疗前,差异均有统计学意义(P<0.05);治疗后Sa O2、Pa O2、Pa CO2水平明显改善,差异均有统计学意义(P<0.05)。结论:早期应用有创机械通气方式治疗急性左心衰肺水肿效果良好,值得临床重视和推广应用。

Objective： To analyze the measures and effects of invasive ventilation in the treatment of acute left heart failure pulmonary edema.Method： Treated in our hospital 72 cases of acute left ventricular failure with pulmonary edema were selected as the objects of this study, all patients were used tracheal intubation and respirator positive pressure ventilation.Monitoring and recording the indications of patients before and after treatment.Result： After treatment, systolic blood pressure, respiratory rate, heart rate were significantly lower than those of before treatment（P〈0.05）. PaO2, PaCO2 and SaO2 levels were significantly improved in patients after treatment（P〈0.05）.Conclusion： Early treatment of invasive mechanical ventilation mode memory left heart failure, pulmonary edema effect is good and worthy of attention and application.