Noninvasive positive pressure ventilation treatment of acute left ventricular failure report of 32 cases.doc

 PAGE \* MERGEFORMAT 3 Noninvasive positive pressure ventilation treatment of acute left ventricular failure report of 32 cases Author: Sri Lanka Kazuo Jiang Jianping Hu Chen-Yu Wang Yan Guang-Ling [Keywords:] acute left ventricular failure Acute severe left heart failure patients often rapid respiratory failure and severe hypoxemia, if not a timely manner can lead to irreversible damage to body organs. Timely use of non-invasive mechanical ventilation in respiratory support treatment, they can promptly correct the systemic hypoxia, especially when the drug treatment to be ineffective when the control of acute pulmonary edema associated with left heart failure due to respiratory failure and improve cardiac function and reduce the rate of endotracheal intubation with a an important role. Now Pinghu City, First People’s Hospital intensive care unit 32 patients with acute left heart failure treatment fact sheets are as follows. 1 Data and methods 1.1 General Information October 2003 to October 2006 with acute left heart failure admitted 32 patients, of which 22 were male and 10 females, aged 18 to 78 years with an average (56.11 ± 6.24) years, including the type Ⅰ respiratory failure 22 cases, Ⅱ -type respiratory failure in 10 cases. Including 8 cases of coronary heart disease (including acute inferior wall myocardial infarction in 2 cases, 1 case of acute anterior myocardial infarction, unstable angina pectoris in 2 cases), rheumatic heart disease in 10 cases, 1 case of severe myocarditis, dilated cardiomyopathy, 7 cases hypertensive heart disease and five cases of senile degenerative valvular disease in 1 case. Application of bi-level positive airway pressure (bi-level posi-tive airway pressure, BiPAP) ventilation Indications: ① severe acute left heart failure, cardiac function grade Ⅳ (NYHA) [1]; ② by conventional oxygen, sedation, cardiac, diuretic, vasodilator therapy to alleviate symptoms of those who still can not; ③ of the original non-respirato