smpСкорая медицинская помощьEMERGENCY MEDICAL CARE2072-6716Northwest State Medical University named after II Mechnikov10.24884/2072-6716-2015-16-2-30-37smp-81Research ArticleОБЗОРREVIEWКАРДИОГЕННЫЙ ОТЕК ЛЕГКИХ: ИНТЕНСИВНАЯ ТЕРАПИЯ НА ДОГОСПИТАЛЬНОМ ЭТАПЕ ОКАЗАНИЯ СКОРОЙ МЕДИЦИНСКОЙ ПОМОЩИINTENSIVE TREATMENT OF CARDIOGENIC PULMONARY EDEMA AT PREHOSPITAL STAGE OF EMERGENCY CAREЕршовА. Л.ErshovА. L.noemail@neicon.ruСеверо-Западный государственный медицинский университет им. И. И. Мечникова, Санкт-Петербург, РоссияРоссияNorth-Western State Medical University named after Mechnikov, St. Petersburg, RussiaRussian Federation2015231220161623037Copyright © Ершов А.Л., 20162016Ершов А.Л.Ershov А.L.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://smp.spb.ru/jour/article/view/81

Кардиогенный отек легких (КОЛ) представляет собой угрожающее жизни состояние, достаточно часто встречающееся в повседневной работе бригад скорой помощи. Лечение КОЛ, проводимое на догоспитальном этапе, должно быть обращено не столько на повышение диуреза, сколько на перераспределение крови, приводящее к быстрому снижению преднагрузки и постнагрузки. В представленном обзоре рассмотрены некоторые подходы к назначению лекарственной терапии КОЛ на догоспитальном этапе, а также оценка накопленного опыта использования неинвазивной ИВЛ в режиме СРАР и BiLevel при оказании экстренной помощи при данном патологическом состоянии.

Cardiogenic pulmonary edema is a life-threatening condition that is frequently encountered in standard ambulance practice. Treatment should focus on fluid redistribution with aggressive preload and afterload reduction rather than simply on diuresis. Some specific medications and noninvasive positive pressure ventilation (CPAP, BiLevel) have been shown to be safe and rapidly effective in improving patients symptoms andimprove outcomes.

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The authors declare that there are no conflicts of interest present.