新生儿先天性食管闭锁合并食道气管瘘高频震荡通气治疗的机理与临床(附9例报告)

High Frequence Oscillatory Ventilation of Congenital Esophageal Atresia Postoperatively

目的总结一年多来先天性食管闭锁９例术后高频震荡通气治疗的效果．方法对９例合并肺炎患儿均在术后使用高频震荡呼吸机通气治疗，加强呼吸、循环功能监测，并根据血气分析等结果调整参数，及早发现并治疗合并症．结果９例中治愈 ７例（７７．８％），死亡１例（１１．１％），放弃１例，高频震荡通气过程中无一例合并气胸，合并吻合口狭窄和吻合口瘘及肺不张分别１例．结论 高频震荡通气可促进食道闭锁术后患儿肺炎吸收，减少合并症，提高治愈率，而加强监护是关键．

Objoetive To summarize the effect of high frequence oscillatory ventilation (HFOV) to the 9 postoperative patients with congenital esophageal atresia in the past one years. Methods Both 9 patients all associated with pneumonia were treated by use of HFOV postoperatively. The pulmonary and cardiac function should be carefully surveyed. We adjusted the parameter according to the result of blood gas analysis, as soon as possible to discover and to treat complications. Results Of the 9 patients, the healing rate and the mortality was 77.8% and 11.1% respectively. One refused the treatment for multiple malformations. Thexe was no one case of pneumothorax in the course of HFOV. Conclusions HFOV can improve the healing rate and reduct the complications. Careful Surveillance is the keypoint.