新生儿机械通气治疗允许性高碳酸血症  

Application of permissive hypercapnia in mechanical ventilation in the newborn

作　　者：常立文[1] 李文斌[1] 

机构地区：[1]华中科技大学同济医学院附属同济医院儿科,湖北武汉430030

出　　处：《中国实用儿科杂志》2016年第2期106-109,共4页Chinese Journal of Practical Pediatrics

摘　　要：机械通气是救治新生儿呼吸衰竭的重要手段,但过高的压力和(或)过大的潮气量常导致机械通气相关性肺损伤的发生。允许性高碳酸血症是目前最常采用的肺保护性通气策略之一,其在新生儿合理应用范围、减少呼吸机相关性肺损伤中的意义及目前争论的问题值得探讨。Mechanical ventilation plays an important role in treatment of neonatal respiratory failure. But high peak airway pressure and/or large tidal volume often leads to mechanical ventilation associated lung injury. Permissive hypercapnia is currently one of the most commonly used methods to reduce lung injury. Its reasonable range, its effect on ventilator associated lung injury and the current debate are worthy of concern.

关 键 词：允许性高碳酸血症 机械通气相关性肺损伤 允许性高碳酸血症通气 

分 类 号：R72[医药卫生—儿科]