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目的观察机械通气对重度急性左心衰竭治疗作用。方法对辽宁省东港市中医院循环内科2002年1月至2007年6月收治的重度急性左心衰竭有机械通气指征,除外禁忌证的40例患者给予机械通气支持治疗,同时观察临床治疗效果。结果本组例机械通气治疗者中40例病情好转控制最终出院32例,3例出现致死性心律失常死亡,5例经机械通气后脑部复苏效果差而放弃治疗死亡。结论机械通气能够迅速改善重度急性左心衰竭患者症状和心肺功能。因此机械通气治疗心力衰竭逐年受到医务工作的关注。
Objective To observe the therapeutic effect of mechanical ventilation on severe acute left heart failure. Methods 40 patients with contraindications to mechanical ventilation were enrolled in this study. The patients with severe acute left heart failure admitted to Department of Rehabilitation, Donggang Hospital of Traditional Chinese Medicine from January 2002 to June 2007 were enrolled in the study. . Results In the group of mechanical ventilation, 40 patients were improved and finally discharged. 32 patients died of lethal arrhythmia, and 5 patients died of the failure of brain resuscitation after mechanical ventilation. Conclusion Mechanical ventilation can rapidly improve the symptoms and cardiopulmonary function in patients with severe acute left heart failure. Therefore, mechanical ventilation treatment of heart failure year by year medical attention.