新生儿复苏中喉罩与面罩通气比较,有何优势与不足?

• 作 者: 朱小瑜
• 出 处: 中国新生儿科杂志
• 发表日期: 2010年01期
• 关键词: 新生儿复苏 面罩通气 窒息儿 复苏效果 喉罩 气管插管 通气效果 上呼吸道梗阻 咽喉部 正压通气

答:由于新生儿咽喉部组织柔软易变形,面罩通气时易出现上呼吸道梗阻影响通气效果,而且面罩密封性相对不足,造成正压通气不足,故对较重窒息儿复苏效果往往不佳需改气管插管;而喉罩是直接深入覆盖在声门上方,充气囊可密封声门周围,通气口正对声门,通气复苏效果优于面罩,同时又避免了对面部组织压迫,具有面罩放置的简易性,又有插管

A: Due to the soft neonatal throat tissue easily deformed mask prone to upper airway obstruction ventilation effect, and the relative lack of mask sealing, resulting in lack of positive pressure ventilation, so the resuscitation of heavier suffocation is often poor need to change Tracheal intubation; and laryngeal mask is directly over the glottic cover above the glottic balloon can be sealed around the glottis, the vent is facing the glottis, ventilation and resuscitation is superior to the mask, while avoiding the pressure on the facial tissue, with a mask placed The simplicity, there are intubation