小儿呼吸机撤机指标的研究进展  

Predictors of ventilator weaning in children

作　　者：苏小燕(综述)[1] 何颜霞(审校)[1] 

机构地区：[1]汕头大学医学院深圳市儿童医院,518026

出　　处：《中国小儿急救医学》2014年第3期174-176,共3页Chinese Pediatric Emergency Medicine

摘　　要：小儿呼吸机撤机过早容易导致撤机失败，延长机械通气时间，会增加呼吸机相关并发症的风险和患者的经济负担。目前在儿科领域仍无统一客观的撤机指标，探索合理可行的呼吸机撤机指标对提高撤机成功率有重要意义。该文详述了目前sDJL呼吸机撤机条件及撤机指标的研究进展，比较各指标对小儿呼吸机撤机的预测性及准确性，并展望了更高预测准确度的撤机指标或撤机组合方案用于临床的可能性。Early weaning from mechanical ventilation in children will lead to an extubation failure, however, prolonging mechanical ventilation will increase the risk of ventilator associated complication and the economical burden of disease. Nowadays there is no unified and objective ventilator weaning indexes in pedi- attics, so it is significant to searching for appropriate and feasible ventilator weaning indexes. This article de- tailed the current progress on the condition and predictors of ventilator weaning in children, and comparing the predictability and accuracy of ventilator weaning indexes in children, also looking forward to the possibility of higher accuracy or scheme in ventilator weaning that used for clinical purposes.

关 键 词：机械通气 呼吸机撤机指标 儿童 

分 类 号：R459.6[医药卫生—治疗学]