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目的观察机械通气治疗新生儿呼吸衰竭的临床效果。方法新生儿呼吸衰竭85例,84例均经鼻气管内插管,其中1例经口气管内插管。起初采用辅助—控制通气方式通气,根据原发病情况、血气分析结果调节呼吸机参数和方式,逐步过渡到同步间歇指令通气(synchronized inter-mittent mandatory ventilation,SIMV),当吸氧浓度(FiO2)﹤0.4、呼吸频率(RR)<10次/min、血气结果正常、一般情况较好、自主呼吸有力时,则可撤机拔管。结果治愈53例(62.4%),死亡1例(1.2%),自动放弃31例(36.4%)。结论机械通气是治疗新生儿呼吸衰竭的主要手段,在降低新生儿病死率、提高治愈率方面起重要作用。
Objective To observe the clinical effect of mechanical ventilation on neonatal respiratory failure. Methods 85 cases of neonatal respiratory failure, 84 cases were nasal endotracheal tube, of which 1 case of endotracheal intubation. Initially, assisted-controlled ventilation was used to ventilate, and ventilator parameters and modes were adjusted according to the prevalence and blood gas analysis results to gradually switch to synchronized inter-mitotive mandatory ventilation (SIMV). When oxygen concentration (FiO2) <0.4, respiratory rate (RR) <10 beats / min, blood gas results are normal, the general situation is better, spontaneous breathing strong, then weaning extubation. Results 53 cases (62.4%) were cured, 1 died (1.2%) and 31 cases (36.4%) were automatically discarded. Conclusion Mechanical ventilation is the main treatment for neonatal respiratory failure, which plays an important role in reducing neonatal mortality and improving the cure rate.