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目的研究小儿急性左心衰的临床特点和抢救方法。方法回顾分析了本院28例左心衰竭患儿的临床资料,对气管插管,小剂量吗啡镇静,西地兰强心等治疗措施疗效分析。结果28例患儿中20例抢救成功,8例死亡,10例气管插管,6例抢救成功,2例带呼吸机时间长,因经济困难家长放弃治疗。2例死于酸中毒。9例应用小剂量吗啡静脉注射,8例好转,1例呼吸心跳骤停复苏失败。9例应用西地兰强心,6例好转,3例低心排死亡。结论对急性左心衰患儿要及时救治,应用小剂量吗啡静脉注射镇静,必要时气管插管矫治缺氧,西地兰强心改善心肌功能障碍,可以提高抢救成功率。
Objective To study the clinical features and rescue methods of acute left heart failure in children. Methods The clinical data of 28 children with left heart failure in our hospital were retrospectively analyzed. The curative effect of tracheal intubation, low-dose morphine sedation and cedilanone and other therapeutic measures were analyzed. Results Twenty cases of 28 children were successfully rescued, 8 died, 10 were intubated, 6 were successfully rescued, and 2 were ventilated for a long period of time. Parents were abandoned due to financial difficulties. 2 died of acidosis. 9 cases of intravenous injection of low-dose morphine, 8 cases improved, 1 case of respiratory arrest failed to resuscitate. Nine cases were treated with cedilanq, 6 cases improved, and 3 cases died of low cardiac output. Conclusion The treatment of acute left heart failure in children should be promptly treated, intravenous injection of low-dose morphine intravenously, if necessary, endotracheal intubation to correct hypoxia, cedilanq cardiac improvement of myocardial dysfunction, can improve the success rate of rescue.