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目的 探讨急性肺水肿的的急诊特点及救治措施。方法回顾性分析38例急性肺水肿的临床资料,以及对应用气管插管,人工机械通气,小剂量吗啡静脉注射,硝普钠,多巴胺治疗伴有低血压或休克的病例进行疗效分析。结果经抢救30例患者临床症状迅速控制或好转,好转率78.9%,1例治疗无效,2例病情恶化,5例死亡,病死率13.2%。结论对急性肺水肿处理应及时、果断,尽快纠正缺氧血症,及时进行气管插管和机械通气,积极应用小剂量吗啡,伴有低血压或休克者联合应用多巴胺和硝普钠,疗效确切、安全。
Objective To investigate the emergency characteristics and treatment of acute pulmonary edema. Methods The clinical data of 38 cases of acute pulmonary edema were retrospectively analyzed. The curative effect of tracheal intubation, artificial mechanical ventilation, intravenous injection of small doses of morphine, sodium nitroprusside and dopamine in patients with hypotension or shock was analyzed retrospectively. Results After the rescue, the clinical symptoms of 30 patients were rapidly controlled or improved. The improvement rate was 78.9%. One case was ineffective and the other two cases were deteriorated. Five cases died and the case fatality rate was 13.2%. Conclusion The treatment of acute pulmonary edema should be timely and decisive, as soon as possible to correct hypoxemia, timely tracheal intubation and mechanical ventilation, active low-dose morphine, hypotension or shock combined with dopamine and sodium nitroprusside, the exact effect ,Safety.