机械通气治疗新生儿呼吸衰竭48例  

Effect of Mechanical Ventilation Therapy on 48 Cases of Neonatal Respiratory Failure

作　　者：许平[1] 唐迎春[1] 孙世志[1] 温以良[1] 张勇军[1] 

机构地区：[1]聊城市人民医院,山东聊城252000

出　　处：《实用儿科临床杂志》2005年第6期534-535,共2页Journal of Applied Clinical Pediatrics

摘　　要：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48例均经口气管内插管,起初采用间歇正压+呼气末正压(IPPV+PEEP)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。过渡到间歇指令通气(IMV),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20例(41.67%),死亡18例(37.5%),自动放弃10例(20.8%)。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 neonatal respiratory failure therapy with mechanical ventilation. Methods Forty - eight cases of neonatal respiratory failure were applied endotracheal intubation through mouth. At first, ventilation was given via the intermittent positive- pressure ventilation ＋ peak end - expiratory pre.ssure（ IPPV ＋ PEEP） way. Later, the breath parameters were regulated and transited to the intemittent mandatory ventilation（IMV） way according to original illness. When frac tional concentration of in spired gas（FiO2 ） 〈0.4, respiratory rate（RR） 〈 10 times/minute, with normal blood gas, better general condition and adequate automatic breath, the mechanical ventilation was removed and the endotracheal intubation was pull out. Result In 48 cases, 20 cases were cured （41.67 % ）, 18 cases died （37.5 % ） and 10 cases gave up the therapy （20.8 % ）. Conclusion It is an important way for mechanical ventilation to treat the neonatal respiratory failure, which may reduce the newbom＇s fatality rate.

关 键 词：通气机 机械 婴儿 新生 呼吸功能不全 

分 类 号：R722.1[医药卫生—儿科]