机械通气治疗婴幼儿呼吸衰竭56例临床体会

Mechanical Ventilation in the Treatment of Infants and Young Children Clinical Experience of 56 Cases of Respiratory Failure

目的：就机械通气治疗婴幼儿呼吸衰竭56例不同结果进行探讨。方法：选取我院自2008年1月～2012年10月之间所收治的56例呼吸衰竭的婴幼儿患儿作为研究对象，机械通气仪器选用ServoVentilator300A型呼吸机，机械通气模式主要为同步间歇指令通气（SIMV）、呼吸末正压＋间歇指令通气、辅助／控制（A／C）等。机械通气开始时间为患者入院后的1～2小时左右。结果：本组资料患儿在机械通气治疗过程中死亡5例，放弃治疗、自动出院的有4例，存活46例，治愈率达到了82．14％，存活惠儿中合并颅内出血4例，肺炎7例。结论：机械通气治疗婴幼儿呼吸衰竭疗效确切的同时，要正确调整机械通气各项参数，加强机械通气相关护理。

Objective： To investigate the mechanical ventilation in the treatment of infant respiratory failure in 56 patients with different results. Methods ：56 cases of infant respiratory failure in children admitted to hospital from January 2008 to October 2012 between selec- tion Servo Ventilator 300A ventilator as an object of study, the mechanical ventilation equipment mechanical ventilation mode synchronized intermittent mandatory ventilation （ SIMV）, PEEP ＋ intermittent mandatory ventilation assist / control （ A / C）, etc.. About mechanical ventilation start time for patients admitted to hospital after the 1 - 2Oh. Results： The data in children 5 died in mechanical ventilation in the treatment process, to give up treatment, left the hospital four cases, survival of the 46 cases, the cure rate reached 82.14%, the sur- vival of children with intracranial hemorrhage in 4 cases, pneumonia cases. Conclusion ： Mechanical ventilation treatment of infant respir- atory failure the exact same time, it is necessary to properly adjust the parameters of mechanical ventilation, to enhance mechanical venti- lation care.