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目的:研究并探讨急诊应用呼吸机治疗重症急性左心心力衰竭的效果。方法:选取我院在2014年1月~2016年12月期间收治的50例重症急性左心心力衰竭患者作为研究对象,遵循单盲随机分配原则分为各有25例的两组,对照组采用强心、利尿以及扩张血管等常规抗心力衰竭治疗,观察组在常规抗心力衰竭治疗的基础上及时给予呼吸机辅助呼吸治疗,比较两组患者动脉血气状况以及死亡率。结果:治疗后,观察组动脉血气状况显著改善(P<0.05),且优于对照组治疗后(P<0.05);观察组死亡率8%,对照组死亡率24%,P<0.05,差异具有统计学意义。结论:应用呼吸机辅助呼吸治疗重症急性左心心力衰竭,可以有效改善患者动脉血气状况,提高患者生存率。
Objective: To study and discuss the effect of emergency ventilator in the treatment of severe acute left heart failure. Methods: Fifty patients with severe acute left heart failure admitted from January 2014 to December 2016 in our hospital were selected and divided into two groups of 25 patients according to the principle of single-blind random distribution. The control group Cardiac, diuretic and dilatation of blood vessels and other conventional anti-heart failure treatment, the observation group in the conventional treatment of heart failure on the basis of timely ventilator-assisted respiratory therapy, compared two groups of patients with arterial blood gas situation and mortality. Results: After treatment, arterial blood gas in observation group was significantly improved (P <0.05), and better than control group after treatment (P <0.05); observation group mortality 8%, control group mortality 24%, P <0.05, difference has statistical significane. Conclusion: The use of ventilator-assisted respiration in the treatment of severe acute left heart failure can effectively improve the arterial blood gas and improve the survival rate of patients.