新型冠状病毒患者机械通气中的感染防控措施  

Preventing Infection Measures of COVID-19 Patients during Mechanical Ventilation

作　　者：黄桃[1] 王国琴[1] 徐钦[2] 罗松 HUANG Tao;WANG Guoqin;XU Qin;LUO Song(Department of Critical Care Medicine,the First Affiliated Hospital of Chongqing Medical University,Chongqing,400016;Department of Geriatrics,the Second Affiliated Hospital of Chongqing Medical University,Chongqing,400010)

机构地区：[1]重庆医科大学附属第一医院重症医学科,重庆市400016 [2]重庆医科大学附属第二医院老年科,重庆市400010

出　　处：《中国医疗器械杂志》2020年第5期453-456,共4页Chinese Journal of Medical Instrumentation

基　　金：重庆市科卫联合医学科研项目(2019MSXM002);重庆医科大学新型冠状病毒感染肺炎应急临床研究专项项目(重医大文[2020]13号(18))。

摘　　要：目的探索新型冠状病毒肺炎(COVID-19)患者机械通气中的感染防控措施,为安全应用机械通气技术提供借鉴。方法计算机检索Pub Med、Ovid、万方、维普等数据库,并结合机械通气应用经验,探讨COVID-19患者机械通气中的感染防控措施。结果提出呼吸机外部回路、内部回路、外表面、过滤网及特殊部件的感染防控方法;归纳总结出人工气道的吸痰操作和雾化治疗的感染防控措施。结论成功完成COVID-19患者机械通气中感染防控方案,为机械通气应用及维护提供参考建议。Objective To explore the preventing infection measures of new coronavirus disease 2019(COVID-19)patients during mechanical ventilation,and to provide reference for the safe application of mechanical ventilation.Methods Retrieved from PubMed,Ovid and other databases,and combined with the application experience of mechanical ventilation were collected to explore the preventing infection measures of COVID-19 patients during mechanical ventilation.Results This paper put forward the preventing infection measures of external circuit,internal circuit,outer surface,filter and special parts in ventilator.The preventing infection measures of sputum suction and nebulization were summarized.Conclusion The preventing infection measures of COVID-19 patients during mechanical ventilation are successfully completed,which can provide suggestions for the application and maintenance of mechanical ventilation.

关 键 词：新型冠状病毒肺炎 机械通气 感染防控 吸痰 雾化 

分 类 号：R318.01[医药卫生—生物医学工程] R563.1[医药卫生—基础医学]