目的 探讨急诊一站式BiPAP辅助通气抢救急性左心衰所致低氧血症的临床疗效。方法 94例患者随机分为治疗组和对照组。治疗组采用急诊科、ICU病房无缝衔接一站式常规药物抗心衰治疗基础上加用BiPAP无创正压通气方法救治;对照组采用常规药物抗心衰治疗的救治方法。记录患者治疗过程中通气参数、生命体征、血气分析的结果并进行相关分析。结果 两组基础状态、通气参数无显著差异,但治疗组的效果明显优于对照组。结论 经急诊一站式BiPAP辅助通气急救方法,可明显改善急性左心衰所致低氧血症和心功能,能有效提高患者的急救成功率,值得临床推广。【
Objective To investigate the clinical efficacy of emergency onestop BiPAP assisted ventilation in treatment of acute left heart failure caused by asphyxia. Methods 94 patients were randomly divided into treatment and control groups. The treatment group received the emergency department, ICU ward seamless onestop routine drug plus BiPAP noninvasive positive pressure ventilation method on the basis of antiheart failure treatment, control group received conventional anti-heart failure drug therapy. The ventilate parameters during treatment, the results of vital signs, blood gas analysis were recorded and analyzed. Results The baseline in ventilate parameters showed no difference, but the effect of the treatment group was greater than that of the control group. Conclusion Emergency onestop BiPAP ventilate support can significantly improve cardiac function of acute left ventricular failure due to toxemia and increase the success rate of firstaid, worthy of promotion.