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目的:探讨无创正压通气(NIPPV)在治疗冠心病合并急性左心衰竭中的应用价值。方法:对32例冠心病合并急性左心衰竭患者,在常规药物治疗基础上,加用NIPPV治疗,评价其应用前后的临床疗效。结果:病情好转28例,无效改有创通气4例,有效率达87.5%。28例患者应用NIPPV治疗后呼吸困难明显缓解,肺部口罗音减少,呼吸频率、心率,血气分析指标好转,与治疗前比较差异有统计学意义(P<0.05)。结论:冠心病合并急性左心衰竭,对常规无效的患者及时应用NIPPV治疗,能迅速改善患者的症状和低氧血症,值得推广应用。
Objective: To investigate the value of noninvasive positive pressure ventilation (NIPPV) in the treatment of coronary heart disease complicated with acute left heart failure. Methods: Thirty-two patients with coronary heart disease complicated with acute left heart failure were treated with NIPPV on the basis of conventional drug therapy to evaluate the clinical efficacy before and after the treatment. Results: The condition improved in 28 cases, ineffective to invasive ventilation in 4 cases, the effective rate was 87.5%. After treatment with NIPPV, 28 patients were relieved of dyspnea, reduced pulmonary rales, respiratory rate, heart rate and blood gas analysis index, which were significantly different from those before treatment (P <0.05). CONCLUSION: Coronary heart disease complicated with acute left heart failure and timely treatment of patients with conventional invalid NIPPV can rapidly improve symptoms and hypoxemia in patients, which is worth popularizing and applying.