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目的总结郑州市儿童医院近年来采用高频震荡通气新生儿胎粪吸入性肺不张应用经验。方法对自2008年1月—2010年2月的胎粪吸入合并肺不张符合机械通气指征的患儿,分别进行常频和高频通气,比较并进行分析。结果采用高频通气的患者顺应性、肺氧合功能改变明显。我们自采用高频振荡通气以来,取得了很好的效果。结论对于胎粪阻塞引起的肺不张,应及早的进行高频振荡通气。
Objective To summarize the application experience of neonatal meconium aspiration atelectasis in recent years in Zhengzhou Children’s Hospital. Methods From January 2008 to February 2010 meconium aspiration combined with atelectasis in patients with mechanical ventilation indications of children were respectively frequency and high frequency ventilation, compared and analyzed. The results of compliance with high-frequency ventilation in patients with significant changes in pulmonary oxygen function. We have achieved good results since using high frequency oscillatory ventilation. Conclusions For atelectasis caused by obstruction of meconium, high-frequency oscillatory ventilation should be performed as early as possible.