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急性左心衰竭40例抢救心得 被引量:1

Rescue experience of 40 cases with acute left heart failure
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摘要 目的:探讨急性左心衰竭的抢救方法。方法:选取急性左心衰竭患者40例,按照回顾性资料分析分为2组,各20例,对照组患者给予边转运边治疗,观察组患者在现场进行抢救,待病情基本稳定之后再进行转运。结果:观察组患者经过现场治疗在离开现场时、上急救车时以及到医院时呼吸、心率、血氧饱和度均明显优于对照组,差异有统计学意义(P<0.05)。各时间点2组患者收缩压及舒张压差别不大,差异无统计学意义(P>0.05)。观察组患者治疗显效率和有效率均明显高于对照组,差异有统计学意义(P<0.05)。结论:对急性左心衰竭患者实施院前急救可以有效改善患者的生命体征,改善患者的预后,是对急性左心衰竭患者进行抢救的重要环节。 [ Objective] To study the salvage of acute left heart failure. [Method]40 patients with acute left heart failure were selected, and randomly divided into two groups. Control group patients were gave transport and treatment; Observation group of patients were received the field rescue, after basic stability condition for transshipment. [ Result] After treamaent, when leave the scene, breathing, heart rate, blood oxygen saturation of the observation group were significantly better than that of control group. There was statistical significance ( P 〈 0.05). Each time point had little difference between systolic and diastolic blood pressure in both groups with no statistically significant ( P 〉 0.05). Observation group of patients were treated more efficiency and effectiveness than the contol group. There was statistical significance ( P 〈 0.05). [ Conclusion] For patients with acute left heart failure, pre- hospital emergency treamaent can effectively improve their vital signs and prognosis. It is very important to rescue the patients with acute left heart failure.
作者 干爱国
出处 《浙江医学教育》 2014年第1期54-56,共3页 Zhejiang Medical Education
关键词 急性左心衰竭 抢救 院前急救 acute left heart failure rescue pre- hospital first aid
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