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对12例急性心源性肺水肿患者经鼻导管低流量吸氧及强心、利尿、扩血管等治疗,仍有明显缺氧及呼吸窘迫患者,予高频喷射通气供氧,同时观察治疗前后动脉血氧分压、心率、呼吸、血压的变化,探讨高频喷射通气对严重急性心源性肺水肿的治疗作用。 1 材 料 1993年以来本院收治的急性心源性肺水肿患者12例,男7例,女5例;年龄24～80岁,平均(59.17±15.61)岁。原发病:冠心病6例,高心病2例,风湿性心脏病3例,退行性心瓣膜病1例。全部病例均有端坐呼吸、心悸、气促、唇甲发绀,呼吸29～38次/分,咳白色或粉红色泡沫痰,双肺可闻广泛中小水泡音,心率130～156次/分,PaO_242～55mmHg,经鼻导管吸氧(FiO_2<
In 12 patients with acute cardiogenic pulmonary edema through nasal cannula low-flow oxygen and cardiac, diuretic, vasodilator and other treatment, there are still significant hypoxia and respiratory distress patients, high-frequency jet ventilation, while observing before and after treatment Arterial partial pressure of oxygen, heart rate, respiration, blood pressure changes to explore the therapeutic effect of high frequency jet ventilation on severe acute cardiogenic pulmonary edema. 1 Materials 12 cases of acute cardiogenic pulmonary edema admitted to our hospital since 1993, 7 males and 5 females; aged 24 to 80 years, mean (59.17 ± 15.61) years. Primary disease: 6 cases of coronary heart disease, heart disease in 2 cases, 3 cases of rheumatic heart disease, degenerative valvular heart disease in 1 case. All cases have end-to-end breathing, palpitations, shortness of breath, cyanosis of the lips, breathing 29 ~ 38 beats / min, cough white or pink foam sputum, lungs can smell a wide range of small and medium blisters, heart rate 130 ~ 156 beats / min, PaO_242 ~ 55mmHg, nasal catheter oxygen (FiO_2 <