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通过对11例围产期急性心源性肺水肿(PACPE)抢救成功的回顾性分析,着重指出动脉血气分析监测有助于判断病情,指导治疗和观察疗效。对危重的PACPE应用呼吸机面罩加压给氧或呼气末正压通气,可迅速改善肺水肿、缺氧和高碳酸血症以及胎儿窘迫,静滴硝酸甘油可迅速减少回心血量,大剂量静滴可扩张小动脉,降低血压,也适用于如高征PACPE,副作用少.血液动力学监测简单。纳洛酮可解除吗啡对婴儿出生时的呼吸抑制。
Through the retrospective analysis of successful treatment of 11 cases of perinatal acute cardiogenic pulmonary edema (PACPE), it is emphasized that the monitoring of arterial blood gas analysis can help to judge the condition, guide the treatment and observe the curative effect. For critically ill PACPE ventilator mask pressurized oxygen or expiratory positive pressure ventilation, can rapidly improve pulmonary edema, hypoxia and hypercapnia and fetal distress, intravenous nitroglycerin can quickly return to the amount of blood, high dose Intravenous dilatation of arterioles, lower blood pressure, also applies to symptoms such as epicardial PACPE, less side effects. Hemodynamic monitoring is simple. Naloxone relieves respiratory depression when babies are born.