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目的总结应用无创正压通气治疗急性心梗并心力衰竭患者的临床效果及经验。方法选取获嘉县人民医院急性心肌梗死并心力衰竭患者共52例,给予无创正压通气治疗,观察患者治疗效果,动态记录患者心率、血压、动脉血气、脱离呼吸机时间及住院时间。结果 52例行无创通气治疗的患者中,显著改善35例,好转12例,无效5例,其中3例应用无创呼吸机无效改为气管插管(1例顺利脱机拔管,1例长期不能脱机给予气管切开,1例出现心跳骤停死亡)。结论应用无创正压通气可提高急性心梗并心力衰竭的治疗成功率,避免气管插管的并发症,显著改善患者预后。
Objective To summarize the clinical effects and experience of noninvasive positive pressure ventilation in patients with acute myocardial infarction and heart failure. Methods Fifty-two patients with acute myocardial infarction and heart failure in the People’s Hospital of Xijia County were enrolled in this study. Noninvasive positive pressure ventilation was used to treat the patients. The therapeutic effect was observed. The heart rate, blood pressure, arterial blood gas, time from ventilator and hospital stay were dynamically recorded. Results Among the 52 patients who underwent noninvasive ventilation, 35 were significantly improved, 12 were improved, 5 were ineffective, of which 3 were noninvasively ventilated without endobronchial ventilation (1 being successfully extubated, 1 being long-term Tracheotomy was given offline, and 1 patient died of cardiac arrest. Conclusion Non-invasive positive pressure ventilation can improve the success rate of treatment of acute myocardial infarction and heart failure, avoid the complications of tracheal intubation and significantly improve the prognosis of patients.