40例早产儿呼吸衰竭护理  

Nursing of Premature Infants with Respiratory Failure in 40 Cases

作　　者：彭素近[1] 

机构地区：[1]广东省惠州市中心医院儿科,广东惠州516001

出　　处：《中国现代医生》2008年第17期103-104,共2页China Modern Doctor

摘　　要：目的探讨早产儿呼吸衰竭的护理,提高早产儿的存活率。方法40例呼吸衰竭患儿在常规护理的基础上,当患儿出现呼吸困难时加强呼吸道管理保持呼吸道通畅,同时给予高频喷射通气,维持血PaO2在60～70mmHg,血气分析pH7.35～7.45,PaCO235～45mmHg,根据患儿的面色情况以及呼吸、脉搏、血压等生命体征的稳定情况调节有关参数及停氧。结果40例呼吸衰竭早产儿,经积极治疗和精心护理,存活率82.5%(33/40),死亡率17.5%(7/40)。结论加强呼吸道管理,保持呼吸道通畅,保证足够通气量是提高早产和呼吸衰竭患儿存活率的基础。Objective To study premature infants with respiratory failure care,and improve the survival rate of premature infants. Methods In the conventional way on the basis of care, when children with difficulty in breathing, strengthening the management of respiratory airway pateney while providing high frequency jet ventilation（HFV ）, the blood Pa02 60-70mmHg,blood gas analysis pH 7.35-7.45, PaCO2 35-45mmHg, according to the children,as well as breathing,pulse,blood pressure and other vital signs regulating the stability of the parameters and stop oxygen Results In 40 cases of premature infants with respiratory failure,after the active treatment and careful nursing,the survival rate was 82.5%（33/40）,the mortality rate of 17.5%（7/40）. Conclusion Airway management,and maintain airway to ensure adequate ventilation of premature delivery and improve the survival rate of patients with respiratory failure basis.

关 键 词：早产儿 呼吸衰竭 高频喷射通气 护理 

分 类 号：R473.72[医药卫生—护理学]