机械通气治疗新生儿呼衰32例

目的：总结我院32例使用机械通气治疗新生儿呼衰的体会。方法：采用美国“熊牌”750呼吸机,具有时间控制、定压、限容、持续恒流的特点,呼吸模式由IPPV＋PEEP,渐过渡到SIMV和CPAP,然后撤机。结果：上机的32例中,成活23例,死亡9例,治愈率71．9％。结论：本组病例中,主要原发于肺部疾患,普通吸氧夫效时,要及时上机,调整好参数,及时监测血气和脉搏氧饱合度,使机械通气量与肺内病变程度相适应,达到更理想的氧合和通气效果。通过本组病例分析,病死率较常规治疗明显减低,说明机械通气至关重要。

Neonatal respiratory failure treated by mechanical ventilation (a report of 32 cases)

Objective: To summarize 32 cases of neonatal respiratory failure treated by mechanical ventilation in our department. Methods: "Bear 750" ventilator (America) was used. The respiratory mode transitted from IPPV+PEEP gradually to SIMV and CPAP and then ventilator was turned off. Results: 23 out of 32 cases treated by ventilator survived and 9 died, the cure rate was 71.9%. Conclusion: Our cases were primarily related to lung disease. When common oxygen inhaling failed, immediate approachment to ventilator with proper modified parameters should be performed. Mechanical ventilation volume in proportion to the extent of lung pathological changes should be made by monitoring blood gases and pulse oxygen saturations from time to time so as to get ideal oxygenation and ventilation effect. Remarkable mortality reduction in comparison with normal therapy was observed. Our analysis illustrates that mechanical ventilation is crucial for neonatal respiratory failure treatment.