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目的分析对32例急性心肌梗死合并重症左心衰竭患者进行机械通气治疗及护理的效果。方法对32例急性心肌梗死合并重症左心衰竭患者进行机械通气治疗,并监测其治疗前后的心率(HR)、呼吸频率(RR)、血氧饱和度(SaO2)、血压(SBP、DBP)值,探讨护理此类患者的必要措施。结果与治疗前相比,本组患者在进行机械通气治疗2h后其HR、RR、SaO2、SBP、DBP等指标得到明显的改善(P<0.01,P<0.05),共有27例患者得到有效抢救,其心肌缺血的情况得到改善,抢救成功率约为84.38%,死亡率约为15.62%。结论进行机械通气治疗及护理可显著提高急性心力衰竭合并重症左心衰竭患者的抢救成功率,此疗法值得在临床上推广使用。
Objective To analyze the effect of mechanical ventilation and nursing on 32 patients with acute myocardial infarction complicated with severe left heart failure. Methods 32 patients with acute myocardial infarction complicated with severe left heart failure were treated with mechanical ventilation, and the heart rate (HR), respiratory rate (RR), blood oxygen saturation (SaO2) and blood pressure (SBP, DBP) , To explore the necessary measures to care for such patients. Results Compared with those before treatment, HR, RR, SaO2, SBP, DBP and other indexes of patients in this group were significantly improved after 2 hours of mechanical ventilation (P <0.01, P <0.05) , Its myocardial ischemia improved, the rescue success rate was 84.38%, the mortality rate was about 15.62%. Conclusion Mechanical ventilation treatment and nursing can significantly improve the success rate of rescue in patients with acute heart failure and severe left heart failure. This therapy is worth popularizing in clinic.