Noninvasive positive pressure ventilation in the treatment of early severe acute left heart failure of 35 cases.doc

 PAGE \* MERGEFORMAT 9 Noninvasive positive pressure ventilation in the treatment of early severe acute left heart failure of 35 cases Of: Ni Wei, Xue Jianzhong, Gao Shun Zhong, Zhang Bibo [Key Words] mechanical ventilation, noninvasive positive pressure ventilation, acute left ventricular failure Acute left heart failure is a common clinical medical emergency, patients often have severe breathing difficulties caused by hypoxia, when exacerbations with respiratory failure as an outstanding performance, such as the rescue is not timely, the body can quickly lead to irreversible hypoxic organ damage, even life-threatening, the clinical use of oxygen, cardiac, diuretic, vasodilator and other treatment programs are usually difficult to alleviate or slow onset of symptoms. In recent years, noninvasive positive pressure ventilation used in the treatment of acute left heart failure received widespread attention at home and abroad . We are in our hospital intensive care unit (ICU) 2002 5 months to March 2008 were treated 35 cases of severe acute left heart failure in patients with heart failure resistant to conventional drugs, while combined therapy plus NIPPV achieved good results, are as follows. 1 Subjects and methods 1.1 Case 35 cases of severe acute left heart failure patients to cardiac diuretic, vasodilator drugs and hormones, such as conventional anti-failure medication, the same time with no wounds (nasal mask positive pressure ventilation. Of which 12 cases were admitted to hospital 24 h Canon of conventional methods no significant effect of treatment of patients, 23 cases of emergency direct income for the ICU ward, both with a clear history of organic heart disease other than chronic obstructive pulmonary disease and patients with heart . 21 males and 14 females, aged 29 85. including hypertensive heart disease in 8 cases, 2 cases of dilated cardiomyopathy, 3 cases of rheumatic heart disease, coronary heart disease in 15 cases, 2 cases