无创机械通气治疗急性心肌梗死低氧血症的护理体会

目的:探讨Bi PAP无创呼吸机辅助呼吸治疗急性心肌梗死低氧血症的临床疗效和护理措施。方法:选取我院2013年8月至2014年12月抢救中心急性心肌梗死伴低氧血症患者,在常规治疗及高流量吸氧后,末梢血氧饱和度(SPO2)90%者40例,采用无创呼吸机辅助治疗并加强护理,观察治疗后血气指标SPO2、Pa O2和Pa CO2的变化。结果:所有患者在无创通气30 min后SPO2均升至90%以上,而PO2升至正常低限,1 h后Pa O2恢复正常。结论:无创呼吸机辅助治疗是治疗急性心肌梗死低氧血症的有效方法。

The Nursing Experience of Non-invasive Ventilation Treatment to the Patients with Hypoxemia after Acute Myocardial Infarction

Objective:To investigate the clinical efficacy of nursing interventions on the non-invasive ventilation of patients with hypoxemia after acute myocardial infarction.Methods:40 patients with hypoxemia after acute myocardial infarction who were treated in our hospital fromAugust 2013 to December 2012 were selected. All the patients received the conventional therapy and the non-invasive ventilators treatment. Then the blood pH value, partial pressure of oxygen (PaO2) and partial pressure of carbon dioxide(PaCO2) were observed and compared.Results:The levels of SPO2 of all patients were above 90%30 min later after ventilation, and PaO2 was approached to normal lower limit. The blood level of PaO2 recovered to normal 1h later.Conclusion:Non-invasive ventilators were valid in ameliorating hypoxemia after acute myocardial infarction