儿童急性呼吸窘迫综合征无创呼吸支持:获益与风险  

Non-invasive respiratory support for pediatric acute respiratory distress syndrome:benefits and risks

作　　者：孔祥莓 朱晓东[1] Kong Xiangmei;Zhu Xiaodong(Department of Pediatric Intensive Care Unit,Xinhua Hospital,Shanghai Jiao Tong University School of Medicine,Shanghai 200092,China)

机构地区：[1]上海交通大学医学院附属新华医院小儿急危重症医学科,200092

出　　处：《中国小儿急救医学》2024年第6期421-425,共5页Chinese Pediatric Emergency Medicine

摘　　要：无创呼吸支持是儿童急性呼吸窘迫综合征(PARDS)的重要呼吸支持策略之一。PARDS患儿早期应用无创呼吸支持策略可能降低或者避免气管插管以及有创呼吸机的使用,同时作为拔管后序贯治疗手段之一在临床工作中被广泛重视。但不可忽视其可能导致延迟插管等不良后果。本文主要围绕PARDS中无创呼吸支持的获益与风险进行论述。Non-invasive respiratory support(NIRS)is one of the important respiratory support strategies for pediatric acute respiratory distress syndrome.Early application of NIRS may reduce or avoid the use of tracheal intubation or invasive mechanical ventilation,which has been widely recognized as one of the sequential treatment methods after extubation in clinical practice.But it cannot be ignored that it may lead to adverse consequences such as delayed intubation.This review mainly discussed the benefits and risks of NIRS in pediatric acute respiratory distress.

关 键 词：儿童急性呼吸窘迫综合征 无创呼吸支持 无创通气 经鼻高流量氧疗 

分 类 号：R725.6[医药卫生—儿科]