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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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1
[The clinical significance of controlled artificial respiration in patients with acute myocardial infarct].[急性心肌梗死患者控制性人工呼吸的临床意义]
Z Gesamte Inn Med. 1975 Apr 1;30(7):272-8.
2
[Emergency cardiological therapy].[急诊心脏治疗]
Cardiol Prat. 1972 Jul-Sep;23(3):279-87.
3
[Treatment of myocardial infarct in the acute phase and of its complications in the resuscitation department].[复苏科对心肌梗死急性期及其并发症的治疗]
Minerva Cardioangiol. 1972 Sep;20(9):505-15.
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[Management and therapeutic results in myocardial infarct shock].[心肌梗死休克的管理与治疗结果]
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[Criteria of shock in myocardial infarct and the characteristics of shock of various severity].[心肌梗死休克的标准及不同严重程度休克的特点]
Kardiologiia. 1971 Aug;11(8):13-25.
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[Use of oxygen inhalation therapy in the treatment of acute myocardial infarct].[氧气吸入疗法在急性心肌梗死治疗中的应用]
Med Arh. 1972 Mar-Apr;26(2):85-6.
7
[Long-term artificial pulmonary ventilation in the treatment of a patient with acute myocardial infarction complicated by true cardiogenic shock and pulmonary edema].[长期人工肺通气治疗急性心肌梗死合并真性心源性休克和肺水肿患者]
Anesteziol Reanimatol. 1984 Jul-Aug(4):37-8.
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[Treatment of acute myocardial infarction complications in the emergency period (author's transl)].急性期急性心肌梗死并发症的治疗(作者译)
Cas Lek Cesk. 1979 Jun 29;118(26):818-20.
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[High-frequency jet ventilation of the lungs during intensive care of cardiogenic shock and pulmonary edema in patients with myocardial infarction].[心肌梗死患者心源性休克和肺水肿重症监护期间的肺高频喷射通气]
Anesteziol Reanimatol. 1993 Nov-Dec(6):42-6.
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[Advances in the therapy of myocardial infarct. Prognosis and clinical course of acute myocardial infarct with intensive therapy].
Fortschr Med. 1982 Apr 15;100(14):656-62.