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目的:分析应用呼吸机治疗重症急性左心衰竭的临床疗效。方法:随机选择我院2013年2月-2016年8月期间在心胸外科接受诊治并自愿参与实验的120例重症急性左心衰竭患者,并随机将其分为研究组和对照组,各60例,其中对照组60例患者送急诊后仅进行常规治疗,包括镇静、扩血管、强心和利尿治疗等;研究组患者在对照组基础上给予呼吸机进行治疗,观察并分析两组患者治疗效果。结果:研究组患者的总有效率明显高于对照组(91.67%vs 75%,P<0.05)。研究组患者治疗后的血液p H值、HR、Pa O2、Sa O2、Pa CO2、MAP与治疗前相比较,均有显著改善(P<0.05)。结论:应用呼吸机治疗重症急性左心衰竭的临床疗效比较显著,患者的呼吸功能可以得到有效的改善,纠正患者缺氧缺血的表现,从而有效的缓解了患者病情的进一步发展,具有较高的临床价值,值得大面积的推广。
Objective: To analyze the clinical effect of ventilator in treatment of severe acute left heart failure. Methods: A total of 120 patients with severe acute left heart failure who underwent diagnosis and treatment of cardiothoracic surgery and voluntarily participated in the experiment were selected randomly from February 2013 to August 2016 in our hospital and randomly divided into study group and control group, with 60 cases in each group , Of which 60 patients in the control group were given only conventional treatment after emergency surgery, including sedation, vasodilation, cardiac and diuretic treatment; the study group was treated with ventilator on the basis of the control group, and the treatment effect was observed and analyzed . Results: The total effective rate of the study group was significantly higher than that of the control group (91.67% vs 75%, P <0.05). The blood p H value, HR, Pa O2, Sa O2, Pa CO2, MAP in the study group after treatment were significantly improved compared with those before treatment (P <0.05). Conclusion: The application of ventilator in the treatment of severe acute left heart failure has obvious clinical curative effect. The patient’s respiratory function can be effectively improved and the hypoxic-ischemic performance of the patient can be corrected. Thus, the further development of the patient’s condition can be effectively alleviated with higher The clinical value, it is worth a large area of promotion.