摘要
目的:探讨经鼻(面)双水平气道正压通气(BiPAP)在急性心肌梗死(AMI)并发急性肺水肿的疗效。方法:对21例AMI并发急性肺水肿的患者进行BiPAP治疗,观察通气治疗前后临床变化及其相关指标并进行统计分析。结果:除1例患者因为病情过重,抢救无效死亡外,其余20例患者经过通气治疗后呼吸频率、心率以及血气等相关指标明显改善(P<0.05),患者症状明显好转,有效率达95%。结论:应用BiPAP治疗AMI并发急性肺水肿能明显改善缺氧和心功能,缓解患者的症状,在抢救该类患者中有着重要的作用。
Objective：To investigate the efficacy of nasal （facial） Bi-level mask positive airway pressure （BiPAP） ventilation in the treatment of acute myocardial infarction （AMI） complicated by acute pulmonary edema.Methods：21 patients with AMI complicated by acute pulmonary edema were treated by BiPAP accessory machine.The chnical changes and related parameters before and after the treatment were observed and analyzed by statistics.Results：After treatment by BiPAP accessory machines,the clinical symptoms and related parameters of 20 patients were significantly improved except 1 patient died.Conclusion：The use of BiPAP mechanical ventilation therapy could improve hypoxia,heart function,symptoms,and it is an important method in the treatment of patients with AMI complicated by acute pulmonary edema.
出处
《现代医药卫生》
2006年第22期3414-3416,共3页
Journal of Modern Medicine & Health
关键词
急性心肌梗死
急性肺水肿
无创通气
心功能
Acute myocardial infarction
Acute pulmonary edema
Non-invasive ventilation
Cardiac function
