摘要
目的 探讨机械通气在心脏疾病中的应用价值。方法 对16例因各种心脏疾病所致严重心力衰竭和14例致命性心律失常引起的心跳骤停患者采用机械通气治疗。观察通气前后患者的心率、呼吸、血压、氧饱和度和血气分析等指标的变化,并与60例非心脏疾病(以呼吸衰竭为主)的患者比较机械通气时间、脱机成功率、死亡率。结果16例急性左心衰组患者心率和呼吸明显减慢(P<0.05),血气分析各指标明显改善。急性左心衰组、致命性心律失常组、呼吸衰竭组的脱机成功率分别为81.3％、35.7％、41.6％;死亡率为18.8％、64.3％、58.3％。结论 及时进行机械通气不仅适宜于呼吸衰竭的抢救,也有利于心力衰竭的治疗,但必须采用适当的通气策略。
Objective To study the clinical application of mechanical ventilation in cardiac diseases. Methods Thirty cases with various cardiac diseases caused heart failure or fatal arrhythmia were treated with mechanical ventilation. Before and after ventilation support,the heart rate,blood pressure, SaO2 and other blood analysis were recorded. Results After ventilation support treatment, the heart rate and breathe rate reduced significantly (P <0. 05) , the SaO2 ,PO2 markedly increased(P <0. 05). Conclusion Mechanical ventilation can not be only applied to respiratory failure, but also applied to heart failure.
出处
《上海第二医科大学学报》
CSCD
2003年第B10期74-75,79,共3页
Acta Universitatis Medicinalis Secondae Shanghai
