摘要
目的探讨不同时期上机指征、呼吸机参数及呼吸管理在极低体重儿（ＶＬＢＷＩ）应用呼吸机时的治疗效果。方法对不同时期应用呼吸机治疗的ＶＬＢＷＩ发生动脉导管未闭（ＰＤＡ）、肺部感染、肺气压伤及预后进行比较。结果ＶＬＢＷＩ在呼吸机治疗时，肺部感染、气胸及病死率，在后期（１９９６年～１９９７年）较早期（１９９５年～１９９６年）均明显减少（Ｐ＜００５）。结论及时掌握早期上机指征是治疗成功的关键；关闭ＰＤＡ是缩短呼吸机治疗疗程的重要手段；
Objective To discuss the therapeutic effects on Very Low Birth Weight Infant (VLBWI)using mechanical ventilation with different indications respirator settings and airway care in different term.Methods comparing the incidence of patent ducts arteriosus(PDA),secondary pulmonary infection,pulmonary barotrauma and prognosis on VLBWI using respirator in different periods.Results The incidences of pulmonary infection,pulmonary barotrauma and mortality on VLBWI using ventilator from early terms(1995～1996)to later terms(1996～1997)were significantly decreased ( P <0 05).Conclusion It is essential to grasp the early indication in time when respirator is using and it is an important method to close PDA for shortening the cure period using ventilator.The Secondary pulmonary infection is an important failing reason when using respirator..
出处
《小儿急救医学》
1999年第2期64-65,共2页
Pediatric Emergency Medicine
