论文部分内容阅读
间歇指令通气一直是新生儿呼吸衰竭的主要通气支持方法,由于呼吸机与病人呼吸不同步,易发生气漏、肺出血、循环系统和神经系统以及慢性肺疾病等并发症,使用肌肉松弛剂或用较快的呼吸频率和降低血二氧化碳分压以夺取婴儿呼吸也有一定的弊端和困难。目前用的通气新方法有病人触发通气、高频通气、胸腔外负压通气、液体通气等方法。当今医生的任务是了解呼吸衰竭的原因,采用合适的方法。将来,应在瞬时肺功能试验和对肺机械学评估指导下,根据患儿的需要选择联用的方法。由于技术在进步,小儿呼吸衰竭的治疗前景是乐观的
Intermittent command ventilation has been the main ventilatory support for respiratory failure in neonates. As the ventilator is not synchronized with the patient’s breathing, prone to air leaks, pulmonary hemorrhage, complications of the circulatory system and the nervous system, and chronic lung disease, the use of muscle relaxants or With faster breathing rate and lower blood pressure of carbon dioxide in order to capture the baby’s breathing also has some drawbacks and difficulties. Currently used new methods of ventilation are patient triggered ventilation, high frequency ventilation, external thorax negative pressure ventilation, liquid ventilation and other methods. The task of today’s doctors is to understand the causes of respiratory failure, using the appropriate method. In the future, under the guidance of instantaneous pulmonary function tests and assessment of pulmonary mechanics, the method of combination should be selected according to the needs of children. As technology advances, the therapeutic prospects for pediatric respiratory failure are optimistic