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《天津医科大学学报》[ISSN:1006-8147/CN:12-1259/R]

卷:

20卷

期数:

2014年05期

页码:

370-373

栏目:

临床医学

出版日期:

2014-09-20

文章信息/Info

Title:

Observing cardiac output of early acute left heart failure in the treatment of non-invasive mechanical ventilation

文章编号:

1006-8147(2014)05-0370-04

作者:

孙贺元¹; 2 ; 傅 强³

(1.天津医科大学研究生院,天津300070;2.天津医科大学第四中心临床教学医院ICU,天津300140;3.天津医科大学第四中心医院,天津300140)

Author(s):

SUN He-yuan¹; 2; FU Qiang³

 （1.Graduate School ,Tianjin Medical University，Tianjin 300070，China；2. ICU ， The Fourth Center Clinical  College，Tianjin Medical University,Tianjin 300140，China；3. The Fourth Center Clinical  of Tianjin，Tianjin 300140，China）

关键词:

无创机械通气; 急性左心衰; 无创心功能; 心输出量

Keywords:

non-invasive mechanical ventilation;  acute left heart failure;  non-invasive cardiac function;  cardiac output

分类号:

R541.6

DOI:

-

文献标志码:

A

摘要:

目的：证实无创机械通气早期治疗急性左心衰有显著效果；通过无创心功能监测明确无创机械通气可改善急性左心衰患者心输出量。方法：按入选标准选取ICU共40例急性左心衰患者，均按2010年急性左心衰治疗指南进行药物、病因及一般治疗；对照组共20例均予面罩吸氧，试验组共20例均予无创机械通气，治疗中符合排除标准的，改为有创机械通气。治疗中监测症状、心率、血压、血氧等变化，用无创心功能监测心输出量变化。结果：对照组有效16例，显效10例，总有效率80％；试验组有效19例，显效18例，总有效率95％；试验组有1例(5％)、对照组有4例(20％)需有创通气，两组气管插管率有统计学差异(P<0．05)。各项观察指标两组具有显著统计学差异(P<O．05)。结论：无创机械通气早期治疗急性左心衰有显著效果，对心输出量有显著改善。

Abstract:

 Objective：To confirm early non-invasive mechanical ventilation treatment of acute left heart failure to have a significant effect on patients with acute left heart failure with improved cardiac output.Methods： Based on ICU Ward selection criteria from January 2013 to October 2013, a total of 40 cases with acute left heart failure patients for the(改为with) first diagnosis were selected. All patients were treated according to 2010 Guidelines in Drug Therapy, Etiology Therapy and General Therapy of Acute Left Heart Failure Treatment; A total of 20 cases in the control group were given oxygen masks while 20 cases in the experimental group were treated by noninvasive ventilator. Patients conforming with exclusion criteria were given invasive mechanical ventilation instead of noninvasive mechanical ventilation in the treatment process . Changes in symptoms, heart rate, blood pressure, blood oxygen, and cadiac output by non-invasive heart function were monitoredin the process of treatment. Results： Sixteen cases in the control group improved with 10 cases showing marked effect, and the total effective rate was 80%;Experimental group 18 cases were markedly effective, 19 patients effectively , the total effective rate was 95%. One case received (5%)endotracheal intubation in the experimental group and 4 cases (20%) in control group with significant difference in endotracheal intubation rates (P <0.05).The observation indexes in the two groups had statistically significant differences (P<0.05). Conclusion： Early non-invasive mechanical ventilation treatment of acute left heart failure has a significant effect with improved cardiac output improved in patients with acute left heart failure .

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相似文献/References:

备注/Memo

备注/Memo:

作者简介 孙贺元（1981-），男，医师，硕士，研究方向：重症医学； 通信作者：傅强 ，E-mail: 979295791@qq.com。

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更新日期/Last Update: 2014-09-25