机械通气在危重新生儿呼吸窘迫综合征中应用进展

Application of Mechanical Ventilation in Critically Ⅲ Neonates with Respiratory Distress Syndrome

目前国外很多研究都提倡使用无创机械通气,但是对于危重的新生儿RDS我们应该及早使用有创机械通气。常频机械通气和高频通气均可对危重的新生儿RDS进行积极救治。与此同时,尽早使用肺泡表面活性物质也将对新生儿RDS治疗产生积极作用,除非是极其危急状况,否则我们还是不推荐使用液体通气、体外膜氧合技术。

At present, many foreign studies have advocated the use of non-invasive mechanical ventilation, but we should use invasive mechanical ventilation as soon as possible for critical neonatal RDS. Regular frequency mechanical ventilation and high frequency ventilation can positively treat critical neonatal RDS. At the same time, the early use of alveolar surfactant will also have a positive effect on neonatal RDS. Unless it is extremely critical, we do not recommend liquid ventilation or extracorporeal membrane oxygenation.