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[急性心肌梗死患者控制性人工呼吸的临床意义]

[The clinical significance of controlled artificial respiration in patients with acute myocardial infarct].

作者信息

Luczak J, Dziegielewski T, Drobnik L, Grabus W, Siennicki R, Kolińska J

出版信息

Z Gesamte Inn Med. 1975 Apr 1;30(7):272-8.

PMID:1199286
Abstract

It is reported on the results of the treatment with artificial ventilation in 20 patients with complicated myocardial infarction. As indicating sign a decreased arterial PO2 (lower than 70 Torr at an respiration of 50% O2 in the respiration air) was considered. Further references to clinical indications were depression of the breathing centre, severe pulmonary oedema, shock and life-threatening therapy-resistent disturbances of the rhythm. The long-term successes of the treatment with controlled respiration showed a clear dependence on the severity of the cardiac lesion and the general condition of the patient. In 10 cases only a transient improvement could be achieved. Three patients survived.

摘要

报道了20例并发心肌梗死患者接受人工通气治疗的结果。以动脉血氧分压降低(呼吸空气中氧气含量为50%时低于70托)作为指示体征。进一步的临床指征包括呼吸中枢抑制、严重肺水肿、休克以及危及生命的抗治疗性心律失常。控制呼吸治疗的长期成功率明显取决于心脏病变的严重程度和患者的一般状况。10例患者仅实现了短暂改善。3例患者存活。

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