急性左心衰13例应用无创通气支持的疗效观察

Observation of noninvasive ventilation for the treatment of 13 acute left heart failure

目的 分析13例急性左心衰患者应用无创通气支持的疗效。方法 观察13例病人在药物治疗的基础上应用BiPAP正压通气1小时后心率、血压、血氧饱和度、平均动脉压、呼吸频率、血气分析的变化,经统计学处理后比较通气前后各指标的差异。结果 12例急性左心衰患者应用无创通气后1小时,心率、血压、血氧饱和度、平均动脉压、血氧分压、呼吸频率均有非常明显的改善,而血pH值和PaCO_2则无明显变化。结论 急性左心衰早期积极的无创正压通气支持能改善左心功能,改善通气血流比值,提高氧分压和血氧饱和度,保证重要脏器的氧供,大大提高抢救的成功率。

Objective To explore the effect of noninvasive ventilation for the treatment of acute left heart failure. Methods To observe heart rate, blood pressure, blood oxygen saturation, mean artery pressure, respiration rate, blood gas analysis after one hour application of BiPAP positive pressure ventilation for 13 patients with acute left heart failure based on the routine drug therapy. Results 12 patients treated with noninvasive ventilation for one hour have a significant improvement in all indexes besides blood pH and PaCO_2. Conclusion Active application of noninvasive ventilation early can improve more success of the treatment of acute left heart failure.