儿童长期机械通气的概念及国内外现状  

The concept and research progress of long-term mechanical ventilation in children

作　　者：陈伟明 张铮铮 陆国平 Chen Weiming;Zhang Zhengzheng;Lu Guoping(Division of Pediatric Emergency Medicine and Critical Care Medicine,Children′s Hospital of Fudan University,Shanghai 201102,China)

机构地区：[1]复旦大学附属儿科医院重症医学科,上海201102

出　　处：《中国小儿急救医学》2022年第3期161-164,共4页Chinese Pediatric Emergency Medicine

基　　金：上海申康医院发展中心-促进市级医院临床技能与临床创新能力三年行动计划,重大临床研究项目(SHDC2020CR4092);上海市卫生健康委员会面上项目(201940100)。

摘　　要：近年长期机械通气的人群数量快速增长,且长期滞留重症监护室,疾病负担重,病死率高,家庭和社会也越来越关注这一特殊群体。美国和加拿大针对儿童家庭机械通气发布了管理共识,但国内外医疗资源配置差异很大,以家庭为中心的管理方案,在国内现阶段仍比较困难。本文总结国内外儿童长期机械通气的现状,希望借鉴国外经验,更好地帮助国内儿童长期机械通气患儿。In recent years,the number of children with prolonged mechanical ventilation has increased rapidly,and they have been in intensive care units for a long time,resulting in a heavy disease burden and high mortality.Families and society are also paying more and more attention to this special group.The United States and Canada have issued a management consensus on mechanical ventilation for children at home,but the allocation of medical resources in China and other countries is very different,and the domestic family-centered management plan is still difficult at this stage.This review summarized the current status of long-term mechanical ventilation in children in China and other countries,and hoped to learn from foreign experience to help domestic children with long-term mechanical ventilation better.

关 键 词：长期机械通气 困难撤机 家庭机械通气 气管切开 儿科 

分 类 号：R720.597[医药卫生—急诊医学]