24例新生儿机械通气合并症分析

对１９９７年～１９９９年６月２４例机械通气治疗新生儿呼吸衰竭出现的合并症进行分析，结果：治愈１４例，好转１例，自动出院４例，死亡５例，出现合并症１１例共１５例次，其中肺不张２例，肺气漏１例，脱管和过度通气各３例，机械通气相关肺炎（ＶＡＰ）６例，这６例在呼吸机治疗４８小时后气道分泌物细菌培养阳性，提示要及时防治机械通气合并症，以提高治愈率。肺炎（ＶＡＰ）６例，这６例在呼吸机治疗４８小时后气道分泌物细菌培养阳性，提示要及时防治机械通气合并症，以提高治愈率。

Analysis of complications in 24 neonates with mechanical ventilation

To raise the survival rate of neonates with mechanical ventilation, the complications were analyzed in 24 neonates who suffered from respiratory failure and treated by mechanical ventilation during 1997-1999. The results showed that 11 cases were complicated by 15 kinds of complications including atelectasis 2 cases, emphysema 3 cases, bilateral pneu-mothorax 1 case, accidental extubation 3 cases and ventilation associated pneumonia 6 cases that the bacteria culture of the airway aspirate was positive at 48 hours after mechanical ventilation. 14 cases were cured successfully, one case improved and 5 cases died. It is suggested that it is necessary to control the complications in time, the cure rate can be expected to increase advanced in the neonates with mechanical ventilation.