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机械通气抢救急性心肌梗死及ARDS 被引量:1

Mechanical ventilation used in treatment of acute myocardium infarction with acute respiratory distress syndrome
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摘要 目的探讨机械通气对急性心肌梗死(AM I)并发急性呼吸窘迫综合征(ARDS)的治疗效果。方法回顾性分析12例AM I并发ARDS患者对机械通气的治疗效果。结果6例在2h内PaO2>60mmHg,4例24h内PaO2>60mmHg。治愈8例,死亡4例,死亡率33.3%。通气前与通气后4h、24h PaO2/F iO2、PaCO2、PH有显著性差异(P<0.01)。结论合理使用机械通气,结合综合治疗,能取得良好的疗效。 Objective To explore the effect of mechanical ventilation (MV) in acute myocardium infarction (AMI) with acute respiratory distress syndrome (ARDS), to improve the understanding and logical application of MV. Methods The effects of MV in AMI patients with ARDS were analyzed. Results 8 cases were cured and 4 died, the mortality was 33. 3%. PaO2/FiO2, PaCO2, PH were significantly different 2h and 24h after the MV was used (P〈0.01). Conclusion It can achieve favorable effect if MV is properly used clinically combined with comprehensive treatment.
出处 《临床肺科杂志》 2005年第6期702-703,共2页 Journal of Clinical Pulmonary Medicine
关键词 机械通气 心肌梗死 ARDS 急性呼吸窘迫综合征(ARDS) 急性心肌梗死(AMI) 抢救 治疗效果 回顾性分析 PACO2 显著性差异 Mechanical ventilation myocardium infarction acute respiratory distress syndrome
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