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目的:探讨经鼻持续气道正压通气(NCPAP)对小婴儿心脏术后机械通气撤离后呼吸功能不全的作用。方法:对15例<6个月心脏体外循环术后患儿,气管插管呼吸机撤离后呼吸功能不全者行NCPAP治疗,并观察治疗效果。结果:13例患儿经过治疗,烦躁、呼吸困难症状改善,低氧血症改善。2例中途再次给予插管机械辅助2天后,再次给予NCPAP,成功脱离呼吸机,患儿渐恢复。结论:NCPAP对小婴儿心脏术后机械通气撤离后呼吸功能不全具有较好的呼吸支持作用。
Objective: To investigate the effect of nasal continuous positive airway pressure (NCPAP) on respiratory insufficiency after cardiopulmonary resuscitation in small infants. Methods: NCPAP was performed on 15 cases of children with respiratory insufficiency after <6 months of cardiopulmonary bypass and after evacuation of the endotracheal intubation ventilator, and the therapeutic effects were observed. Results: Thirteen children were treated, irritable, dyspnea, and hypoxemia improved. Two patients were given mechanical aids twice a day after intubation, again given NCPAP, successfully separated from the ventilator, the children gradually recovered. Conclusion: NCPAP has good respiratory support for respiratory insufficiency after cardiopulmonary resuscitation in infants.