摘要
目的:探讨急性左心衰竭患者临床急性诊治方法和急救疗效。方法:对本院2009年10月-2013年4月急诊收治入院的132例急性左心衰竭患者的临床急诊救治方法和急救前后的生命体征变化进行评价分析,观察分析急性左心衰竭的急救后疗效和预后。结果:经过急诊处理抢救,全部132例急性左心衰竭患者中有119例症状得到缓解,63例在30 min内症状缓解,占53%,45例在30 min^1 h内症状缓解,占38%,11例在1~24 h内症状缓解,占9%。13例因抢救无效死亡,占10%。30 min内症状缓解者例数最多,百分比最大。119例症状有效控制的患者,急救后血压、心率和呼吸频率均较急救前明显降低,急救前后患者生命体征比较差异有统计学意义(P<0.01)。结论:在急性左心衰竭的临床急救中,快速准确的判断和包括吸氧、强心、利尿、扩血管药等在内的及时有效的治疗是提高抢救成功率、降低病死率的关键。
Objective：To investigate the clinical efficacy of acute treatment and care of patients with acute left heart failure.Method：132 patients with acute left heart failure admitted to our hospital from October 2009 and April 2013 were selected.The clinical emergency treatment and emergency life signs of them were analyzed,and the effect and prognosis after emergency treatment of acute left heart failure were observed and analyzed.Result：After emergency rescue,all 132 patients with acute left heart failure,there were 119 cases of remission,63 cases in 30 min remission of symptoms,accounted for 53%,45 cases in 30 min-1 h remission of symptoms,accounted for 38%,11 cases in 1-24 h remission of symptoms,accounted for 9%.13 cases because of rescue invalid death,accounted for 10%.Most cases of symptoms within 30 min,the maximum percentage.The symptoms of 119 patients with emergency were effective controlled,emergency blood pressure,heart rate and respiratory rate were significantly decreased than before first aid,there was significant differences before and after the vital signs of patients in emergency（P〈0.01）.Conclusion：In clinical emergency treatment of acute left heart failure,rapid and accurate judgment and including oxygen,strong heart,diuretic,vasodilator,timely and effective treatment is to improve the success rate of rescue,the key to reduce the mortality rate.
出处
《中国医学创新》
CAS
2014年第6期118-120,共3页
Medical Innovation of China
关键词
急性左心衰竭
急救
诊断
治疗
Acute left heart failure
First aid
Diagnosis
Treatment
