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目的:探讨机械正压通气治疗急性心源性肺水肿的临床效果。方法:对30例急性心源性肺水肿患者在常规抗心衰治疗基础上行机械正压通气治疗。记录本组治疗效果,比较机械正压通气治疗4 h前后监测指标变化情况。结果:本组25例症状明显改善,5例死亡,抢救成功率为83.3%;机械正压通气时间6 h～9 d,顺利脱机;25例患者机械正压通气治疗4 h后监测指标变化情况优于治疗前(P<0.01)。结论:机械正压通气是治疗急性心源性肺水肿的重要辅助措施,能迅速改善患者低氧血症和临床症状,降低病死率。
Objective: To investigate the clinical effect of mechanical positive pressure ventilation in the treatment of acute cardiogenic pulmonary edema. Methods: Thirty patients with acute cardiogenic pulmonary edema underwent mechanical positive pressure ventilation on the basis of routine anti-heart failure treatment. Record the treatment effect of this group, compared with mechanical positive pressure ventilation treatment monitoring indicators before and after 4 h changes. Results: The symptoms of 25 patients in this group were significantly improved. Five patients died and the rescue success rate was 83.3%. The time of mechanical positive pressure ventilation was 6 h to 9 d, and the patients were successfully taken off-line. The changes of indicators were monitored in 25 patients after mechanical ventilation for 4 h Condition better than before treatment (P <0.01). Conclusion: Positive pressure ventilation is an important adjuvant for the treatment of acute cardiogenic pulmonary edema. It can rapidly improve hypoxemia and clinical symptoms and reduce the mortality.