小儿重症肺炎鼻塞正压给氧与血气监测的体会

• 作 者: 王炳辉 杜瑞冰 周崇华 杨素娥 穆瑞光 罗志福 马学富 刘小玉 陈玉珍 黄美兰 胡皓夫
• 机 构: 华山冶金医专附属医院儿科,华山冶金医专附属医院儿科,华山冶金医专附属医院儿科,华山冶金医专附属医院儿科,华山冶金医专附属医院儿科,华山冶金医专附属医院儿科,华山冶金医专附属医院儿科,华山冶金医专附属医
• 出 处: 陕西新医药
• 发表日期: 1986年09期
• 关键词: 小儿重症肺炎 正压呼吸 持续正压给氧 CPAP 氧气疗法 呼吸衰竭 湿化器 肺炎心衰 血气分析 暴喘

低氧血症不仅是小儿重症肺炎的必然后果,而且是导致患儿机体多脏器功能损害的始动环节。因此,合理有效的氧气疗法已成为救治重症肺炎不可缺少的措施。1985年1—5月,我们对部分重症肺炎合并呼吸衰竭的患儿,在综合治疗的基础上,普通给氧无效时,应用WQS—Ⅰ型多用给氧湿化器,开展经鼻塞呼吸道持续正压给氧疗法(以下简称CPAP),同时利用AVL—939型微量血气分析仪进行动态血气监测,获得了一定效果。现将资料较全的11例情况介绍分析如下。

Hypoxemia is not only an inevitable consequence of pediatric severe pneumonia, but also the first step in the functional impairment of multiple organ in children. Therefore, reasonable and effective oxygen therapy has become an indispensable measure for the treatment of severe pneumonia. 1985 January-May 1985, we part of severe pneumonia with respiratory failure in children on the basis of comprehensive treatment, the general lack of oxygen, the application of WQS-Ⅰ-type multi-purpose oxygen humidifier to carry out nasal obstruction of respiratory tract sustained positive Pressure oxygen therapy (hereinafter referred to as CPAP), while using AVL-939 trace blood gas analyzer for dynamic blood gas monitoring, obtained some results. Information now more complete analysis of 11 cases described below.