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目的探讨有创机械通气用于重症急性心源性肺水肿的临床效果。方法对2009年3月至2011年10月收治的急性心源性肺水肿进行有创机械通气48例患者的临床资料进行总结。结果本研究患者经经积极救治死亡6例,病死率为12.5%;机械通气时间3~8 d,平均(4.6±2.5)d。结论有创机械通气用于重症急性心源性肺水肿临床效果显著,可以改善肺通气换气功能,纠正低氧血症及二氧化碳潴留,促进疾病康复,降低病死率。
Objective To investigate the clinical effect of invasive mechanical ventilation on severe acute cardiogenic pulmonary edema. Methods The clinical data of 48 patients with invasive cardiopulmonary edema admitted from March 2009 to October 2011 were retrospectively analyzed. Results In this study, 6 patients died of active treatment and the case fatality rate was 12.5%. The duration of mechanical ventilation was 3 to 8 days, with an average of (4.6 ± 2.5) d. Conclusion The use of invasive mechanical ventilation for severe acute cardiogenic pulmonary edema has significant clinical effect, which can improve pulmonary ventilation and ventilation, correct hypoxemia and carbon dioxide retention, promote disease recovery and reduce mortality.