《中国康复理论与实践》

《中国康复理论与实践》 ›› 2004, Vol. 10 ›› Issue (02): 96-97.

• 临床研究 • 上一篇    下一篇

43例心肌梗死患者机械通气疗效观察

李培兰1; 王勇2   

  1. 1.北京博爱医院内科 北京市 100068;2.北京铁路总医院呼吸内科 北京市 100038
  • 收稿日期:2003-11-10 出版日期:2004-02-25 发布日期:2004-02-25

Effect of mechanical ventilation on 43 patients with myocardial infarction

LI Pei-lan, WANG Yong   

  1. Department of Internal Medicine, Beijing Charity Hospital, Beijing 100068, China
  • Received:2003-11-10 Published:2004-02-25 Online:2004-02-25

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摘要： 目的观察心肌梗死患者机械通气疗效。方法43例采用机械通气的心肌梗死患者为治疗组,于PaO2<55mmHg、SaO2<85%,及心跳骤停时给予气管插管、机械通气;26例相同病情的患者为对照组,基本治疗方法相同而行经鼻或面罩吸氧。结果机械通气组存活15例(34.9%),对照组存活2例(7.8%),两组患者存活率的差异有非常显著性意义 (P<0.01)。两组死亡患者的死亡时间多在24h之内,机械通气组在行机械通气1周后死亡人数明显增多。结论机械通气可明显提高心肌梗死患者的存活率,改善心功能。

关键词: 心肌梗死, 机械通气, 疗效

Abstract: ObjectiveTo investigate the effect of mechanical ventilation (MV) on myocardial infarction (MI).Methods43 MI patients of the treating group were treated with mechanical ventilation when PaO2<55 mmHg, SaO2<85%.26 MI patients of the control group were treated with same treatment except for inhaling O2 through nose or face mask.ResultsThe survival rate of the treating group was 34.9%, but that of the control group was 7.8%, there was a significant difference between two groups (P<0.01).ConclusionMechanical ventilation can raise the survival rate of MI patients and improve functions of failing heart.

Key words: myocardial infarction (MI), mechanical ventilation, curative effect