婴儿先天性心脏病并呼吸衰竭的呼吸机辅助治疗  

Mechanical Ventilation Therapy for Infants with Congenital Heart Disease Combined with Respiratory Failure

作　　者：焦萌[1] 韩玲[1] 金梅[1] 罗毅[1] 王宵芳[1] 郑可[1] 郭保静[1] 梁咏梅[1] 

机构地区：[1]首都医科大学附属北京安贞医院小儿心脏科,北京100029

出　　处：《实用儿科临床杂志》2007年第1期24-25,共2页Journal of Applied Clinical Pediatrics

摘　　要：目的探讨婴儿危重先天性心脏病(CHD)应用呼吸机辅助治疗的重要性及临床特点。方法回顾性分析危重CHD婴儿21例。结合CHD婴儿并呼吸衰竭的病理生理特点,分析呼吸机辅助治疗在婴儿CHD并呼吸衰竭情况下的临床应用。结果本组患儿主要畸形为室间隔缺损(57.1%)。非青紫型CHD均并Ⅱ型呼吸衰竭(13例);青紫型CHD8例中,2例并Ⅰ型呼吸衰竭,另6例并Ⅱ型呼吸衰竭。机械通气后2h低氧血症和(或)高碳酸血症均得到不同程度纠正。应用呼吸机治疗20h后易并低碳酸血症(28·5%)。结论呼吸机辅助治疗是婴儿CHD并呼吸衰竭的重要治疗措施,恰当应用是抢救成功的关键。Objective To study the significance and clinical characteristics of application of mechanical ventilation to complement the treatment of severe infant congenital heart disease（CHD）. Methods Clinical data of 21 cases of severe infant CHD from 2000 -2004 in this hospital were reviewed and analyzed. Based on the pathophysiological characteristics of CHD complicated with respiratory failure, the ventilator treatment on such cases in infants was analyzed in clinical practice. Results The major malformation was ventricular septal defects（ 57.1% ）. CHD with non - cyanosis was combined with type Ⅱ respiratory failure（ 13 cases） ;2 of 8 cases of cyanosis were combined with type Ⅰ respiratory failure, and the other 6 cases combined with type Ⅱ respiratory failure. Within 2 hours after mechanical ventilation the hypoxemia and （or） hypercapnic had been seen adjusted to different degree. Application of mechanical ventilation for 20 hours would result in hypocapnic （28.5%）. Conclusion Mechanical ventilation treatment shall be a significant method,and its appropriate application will be the key to success.

关 键 词：心脏病 先天性 呼吸衰竭 呼吸机治疗 婴儿 

分 类 号：R725.4[医药卫生—儿科]