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经喉罩置入气管导管机械通气联合吗啡治疗急性左心衰的临床研究

Clinical research on treatment of acute left heart failure applying mechanical ventilation intubated by laryngeal mask combined with Morphine

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【作者】 陈扬波沈宁罗书裕黄泽宽

【Author】 CHEN Yangbo, SHEN Ning, LUO Shuyu, HUANG Zekuan (Department of Cardiology, the People’s Hospital of Jieyang City, Jieyang 522000, China)

【机构】 广东省揭阳市人民医院心内科

【摘要】 目的:探讨经喉罩置入气管导管行机械通气并联合吗啡治疗急性左心衰肺水肿的疗效及临床价值。方法:60例住院治疗的急性左心衰肺水肿患者,其中30例在常规药物治疗的基础上,予以经喉罩置入气管导管行机械通气并联合吗啡治疗(研究组),另30例仅给予常规药物治疗(常规组)。比较两组的疗效及死亡率、机械通气前后血气变化。结果:研究组有效率明显高于常规组,病死率明显低于常规组(P<0.05),机械通气前后血气改善明显(P<0.05)。结论:喉罩置入气管导管机械通气联合吗啡是急性左心衰肺水肿积极、有效的治疗措施。

【Abstract】 Objective: To explore the clinical effects of traumatic mechanical ventilation intubated by laryngeal mask combined with Morphine in lung edema caused by acute left heart failure. Methods: 60 cases of patients with severe lung edema caused by acute left heart failure were analyzed, the test group (n=30) were given mechanical ventilation intubated by laryngeal mask combined with Morphine, the general group (n=30) was given custom medicine. Effects and rate of death of two groups and pH, PaO2, PaCO2, SaO2, heart rate, respiration rate, surrounding traumatic ventilation were compared. Results: The effective rate of the test group was significantly higher than that of the general group, mortality was significantly lower than that of the conventional group (P<0.05), the blood gas before and after mechanical ventilation improved significantly (P<0.05). Conclusion: Traumatic mechanical ventilation intubated by laryngeal mask combined with Morphine is active and effective for lung edema patients caused by acute left heart failure.

  • 【文献出处】 中国医药导报 ,China Medical Herald , 编辑部邮箱 ,2010年09期
  • 【分类号】R541.6
  • 【被引频次】10
  • 【下载频次】67
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