高频喷射通气治疗小儿急性呼吸衰竭192例临床分析  

Clinical Study of High Frequency Jet Ventilation for Treating Children's Acute Respiratory Failure

作　　者：罗启林[1] 解福平[1] 龙一成[1] 

机构地区：[1]湖南省怀化市第一人民医院儿科,湖南怀化418000

出　　处：《医学临床研究》2006年第9期1438-1440,共3页Journal of Clinical Research

摘　　要：目的 探讨鼻导管法高频喷射通气（high frequency jetventilation，HFJV）在小儿急性呼吸衰竭的应用价值。 方法 192例有自主呼吸的急性呼吸衰竭患儿，在治疗原发病同时采用鼻导管法高频喷射通气治疗，观察患者发绀、皮肤苍白变化及呼吸困难、呼吸节律不规则改善情况，对比治疗前后血气分析。 结果 192例急性呼衰患儿经高频喷射通气治疗后，182例于0．5～1h内发绀消失、苍白皮肤转红润，呼吸困难、呼吸节律不规则明显改善，血气分析PaO2上升（P〈0．01），在Ⅱ型呼吸衰竭患者中PaO2下降（P＜0．01），治愈182例，无副作用发生。 结论 高频喷射通气能有效治疗小儿急性呼吸衰竭。[Objective]To investigate the value of HFJV for treating children＇s acute respiratory failure. [Methods]One hundred ninety-two cases of children＇s acute respiratory failure were treated for primary disease plus high frequency jet ventilation. The therapeutic effect before and after treatment was compared. [Results] Cyanosis disappeared half hour to one hour after therapy. Respiration recovered progressively. The arterial blood and vigour were improved significantly after treatment （ P 〈0.01）. One hundred and eighty-two cases were recovered. [Conclusion]HFJV can cure children＇s acute respiratory failare effectively.

关 键 词：呼吸功能不全/治疗 急性病 高颅喷射通气 

分 类 号：R725.638[医药卫生—儿科]