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近年来,人工呼吸机已在临床上广泛地应用。呼吸机治疗的作用已被临床所接受,同时,呼吸机治疗引起的一系列问题也逐渐被临床所认识。因此,合适地掌握人工呼吸机的应用是临床上应该注意解决的问题。一、人工呼吸机的应用指征一般地说,除了因限制性通气障碍以外,其它原因造成的呼吸衰竭都是人工呼吸机的应用指征。从外科的角度来说,下述情况均应考虑应用人工呼吸机: 1.外科应用人工呼吸机是为了保证有足够的氧供应,减轻心脏负担,促进呼吸、循环功能的恢复。因此,往往不是出现呼吸衰竭后再决定是否应用呼吸机,也不应该把人工呼吸机作为治疗呼吸衰竭的最后手段,在术前已存在心、肺功能不全者,严重心、肺痰患手术,复杂先天性心脏病手术,都应该考虑使用人工呼
In recent years, artificial respirator has been widely used in clinical practice. The role of ventilator therapy has been clinically accepted, at the same time, a series of problems caused by ventilator therapy has gradually been recognized by the clinic. Therefore, a proper grasp of the application of respirators is a problem that should be solved clinically. First, the application of artificial respirator indications In general, except for restrictive ventilation disorders, other causes of respiratory failure are indications of the application of artificial respirator. From a surgical point of view, the following situations should consider the application of artificial respirator: 1. Surgical application of artificial respirator is to ensure adequate oxygen supply, reduce the burden on the heart, promote respiratory and circulatory function recovery. Therefore, it is often not the case of respiratory failure after the decision whether to use ventilator, ventilator should not be used as the last resort treatment of respiratory failure, preoperative existence of heart, pulmonary insufficiency, severe heart, pulmonary phlegm surgery, Complex congenital heart surgery, should consider the use of artificial call