呼吸器在复杂心肌梗死患者中的应用。

The use of respirators in patients with complicated myocardial infarction.

作者信息

Luczak J, Dziegielewski T, Drobnik L, Grabus W, Siennicki R, Kocur-Kolinska J

出版信息

Anaesth Resusc Intensive Ther. 1976 Jan-Mar;4(1):35-40.

Abstract

The results of controlled respiration as treatment in 20 patients with complicated myocardial infarction are presented. The clinical indications to this method of treatment included: shock, pulmonary oedema refractory to treatment, recurrent ventricular fibrillation and respirator failure following cardiac arrest. An indication for the use of this method is a drop in PaO2 below 70 mm Hg despite breathing 30% oxygen. Neuroleptanalgesic drugs were administered routinely while the patient was on the respirator. In all cases at least two prognostically unfavourable clinical signs were found. A correlation was observed between the clinical result and hypoxaemia after breathing 100% oxygen.

摘要

本文介绍了对20例复杂性心肌梗死患者采用控制性呼吸进行治疗的结果。该治疗方法的临床适应症包括：休克、治疗难治性肺水肿、复发性心室颤动以及心脏骤停后的呼吸衰竭。使用该方法的指征是，即使吸入30%的氧气，动脉血氧分压（PaO2）仍低于70 mmHg。患者使用呼吸机时常规给予神经安定镇痛药物。所有病例均至少发现两个预后不良的临床体征。观察到临床结果与吸入100%氧气后的低氧血症之间存在相关性。