摘要
应用气管插管、机械通气治疗小儿呼吸衰竭79例。插管原因有呼吸心跳骤停、呼吸暂停、严重呼吸道梗阻，呼吸节律不齐，呼吸肌麻痹等。治疗的关键是正确掌握插管指征和插管时机，一般以PaO2〈6．5KPa，PaCO2〉7．98Kpa为插管指征，还根据呼吸节律改变及呼吸困难程度适时进行气管插管和机械通气。呼吸机的参数根据疾病和年龄不同而定，避免和减少并发症，加强无菌操作，减少医源性感染。机械通气时间长短与转归和原发病有关。结果治愈33例，好转16例，未愈12例，放弃及死亡18例。
Objective Tracheal intubation and mechanical ventilation in treatment of infants with respiratory failure. There are major reasons for intugbate such as cardiac arrest, breathing holding , severely respiratory tract obstruction , respiratory rhythm irregularity ,paralysis of respiratory muscle etal. Master the indication of intubation correctly and intubation opportunity is the key to cure the disease. According to different disease and age ,the parameter of breathing machine would change. We must adopt strict sterile manipulation which can avoid nosocomial in- fection and reduce complications. There might be a relationship of primary affection with the course of mechanical ventilation and turnover. Conclusion 33 cases were cured, 16 got released ,12 got no recovery and 18 cases give up treatment and died.
出处
《新医学导刊》
2008年第3期1-2,共2页
New Medical Science
关键词
呼衰
气管插管
机械通气
Respiratory failure
Tracheal intubation
Mechanical ventilation
