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有创机械通气治疗急性左心衰的临床观察 被引量:2

Invasive Mechanical Ventilation for Acute Left Heart Failure
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摘要 目的分析有创机械通气对急性左心衰患者治疗与转归的改善作用。方法选取我院2013年1月—2017年11月收治的116例急性左心衰患者作为研究对象,将其随机分为通气组和对照组,每组各58例患者。对照组利用传统治疗方法治疗,通气组加用有创机械通气治疗。结果通气组患者的治疗总有效率为98.27%,住院时间为(11.84±5.23)天;对照组患者的治疗总有效率为77.58%,住院时间为(16.93±3.58)天;两组平均动脉压、心率、呼吸、血氧分压等指标对比,差异具有统计学意义(P<0.05)。结论急性左心衰患者症状危急,利用有创通气治疗能够明显减少患者并发症。 Objective To analyze the effect of invasive mechanical ventilation on the treatment and prognosis of patients with acute left heart failure. Methods 116 cases of patients with acute left heart failure admitted to our hospital from January 2013 to November 2017 were selected as the study objects and they were randomly divided into a ventilation group and a control group, 58 patients in each group, and the control group was treated with traditional treatment. The ventilation group was treated with invasive mechanical ventilation. Results The total effective rate was 98.27% in the ventilation group, and the hospitalization time was(11.84±5.23) days. The total effective rate was 77.58% in the control group and(16.93±3.58) days in the hospitalization time. Two groups of mean arterial pressure, heart rate, respiration, blood oxygen partial pressure and other indicators were compared, the difference was statistically significant(P 〈0.05). ConclusionPatients with acute left heart failure have critical symptoms. The use of invasive ventilation can significantly reduce the complications of patients.
作者 黄宗银 HUANG Zongyin(Emergency Department,Lanling County People's Hospital,Linyi Shandong 277700,China)
出处 《中国继续医学教育》 2018年第20期97-98,共2页 China Continuing Medical Education
关键词 急性左心衰 有创机械通气 治疗效果 预后效果 住院时间 通气效果 acute left heart failure invasive mechanical ventilation therapeutic effect prognosis effect length of stay ventilation effect
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