呼吸机相关性肺气漏的防治

Management and prevention of ventilator-associated pulmonary air leak syndrome

气漏综合征指气体溢出气道进入机体其余腔隙中,最常见的是气胸。机械通气显著增加气漏的发生率,严重者导致患儿出现呼吸及循环衰竭,甚至导致患儿死亡。温和及个性化的机械参数设置能有效减少肺气漏发生和严重程度,而多数气漏保守治疗通常有效。

Air leak syndrome refers to a leak of air from the respiratory tract to other body cavities, and the most common is pneumothorax. Mechanical ventilation increases the inci- dence of the air leak syndrome, which results in the respiration and circulation failure, even death. Gentle and personalized mechanical parameter settings can reduce the incidence and severity of pulmonary air leak, and conservative treatment is usually effective.