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目的 :探讨新生儿机械通气并发症的防治方法 ,降低危重新生儿的病死率。方法 :根据机械通气使用气管导管、呼吸机类型的不同 ,防治并发症措施的不同将 1994～ 1999年间机械通气患儿分两组 ,1994～1996年患儿为Ⅰ组 ,1997～ 1999年患儿为Ⅱ组。结果 :Ⅱ组患儿并发症发生率及病死率均低于Ⅰ组 (χ2 =2 5 5 37,P <0 0 0 1;χ2 =37 5 2 7,P <0 0 5 )。结论 :机械通气时 ,加强气道护理 ,严格遵守无菌操作规程 ,密切监测生命体征 ,根据血气及时调整呼吸机参数 ,使用对机体刺激性较轻微的气管导管 ,适当应用血管活性药物改善微循环 ,能有效地降低机械通气并发症的发生率 ,从而降低新生儿病死率
Objective: To explore the prevention and treatment of neonatal mechanical ventilation complications and reduce the mortality of critically ill newborns. Methods: According to the different types of mechanical ventilation, the different type of ventilator and the prevention and treatment of complications, the children with mechanical ventilation were divided into two groups from 1994 to 1999, the group from 1994 to 1996 was group Ⅰ, the group from 1997 to 1999 For Ⅱ group. Results: The incidence of complication and mortality in group Ⅱ were lower than that in group Ⅰ (χ2 = 2557, P <0.01 1; χ2 = 37 5 27, P <0 05). Conclusion: During mechanical ventilation, airway care should be strengthened, strict adherence to aseptic procedures, close monitoring of vital signs, timely adjustment of ventilator parameters based on blood gas, the use of less-invasive endotracheal tubes, and the appropriate use of vasoactive drugs to improve microcirculation , Can effectively reduce the incidence of mechanical ventilation complications, thereby reducing neonatal mortality