早期实施呼吸支持策略在救治急性中毒危重患儿中的临床应用  

The Clinical Application of Respiratory Support Early Implementation Strategies in the Treatment of Children With Severe Acute Poisoning

作　　者：姜源渊[1] 

机构地区：[1]无锡市儿童医院儿急诊科,江苏无锡214000

出　　处：《中国继续医学教育》2016年第33期102-103,共2页China Continuing Medical Education

摘　　要：目的探究早期实施呼吸支持策略在救治急性中毒危重患儿中的临床应用效果。方法研究对象选取2011年3月~2015年9月我院收治的19例急性中毒危重患儿,均早期实施呼吸支持策略,选择适当的呼吸支持模式,对比患儿治疗前后的APACHEⅡ评分、pH、PaO_2、PaCO_2、SpO_2等指标,并分析预后情况。结果本组19例患儿行SIMV＋PSV＋PEEP呼吸支持模式13例,BiPAP＋PSV＋PEEP模式4例,CPAP＋PSV模式2例,平均上机时间（4.02±0.76）d,治愈18例,死亡1例,治愈患儿均能一次成功撤机,治疗后患儿的APACHEⅡ评分显著降低,PaO_2、PaCO_2、SpO_2等指标显著改善。结论早期实施呼吸支持能够迅速改善急性中毒危重患儿的各项生命体征,减少呼吸衰竭的发生,提高抢救成功率。Objective To explore strategies to support early implementation respiratory clinical effect in the treatment of critically ill children with acute poisoning. Methods 19 cases of acute poisoning in critically ill children from March 2011 to September 2015 in our hospital were chosen, are the early implementation of respiratory support strategy, select the appropriate respiratory support mode, APACHE Ⅱ score, pH, PaO_2, PaCO_2, SpO_2 and other indicators before and after treatment in children with, and after pre analysis. Results The group of 19 children underwent SIMV＋PSV＋PEEP mode 13 cases of respiratory support, BiPAP ＋ PSV ＋ PEEP mode four cases, CPAP ＋ PSV mode 2 cases, the average computer time（4.02 ± 0.76） d, 18 cases were cured 1 died, children are able to cure a successful weaning after treatment in children with APACHE Ⅱ scores were significantly reduced, PaO_2, PaCO_2, SpO_2 and other indicators improved significantly. Conclusion Respiratory support early implementation of acute poisoning can rapidly improve the vital signs of critically ill children and reduce the incidence of respiratory failure, improve the success rate.

关 键 词：急性中毒 危重症 呼吸支持 

分 类 号：R725[医药卫生—儿科]