| 儿科重症监护病房中影响机械通气成功的相关因素 |
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| 引用本文： | 盛秋明,王莹,李璧如,李卫国. 儿科重症监护病房中影响机械通气成功的相关因素[J]. 实用儿科临床杂志, 2003, 18(4): 274-275 |
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| 作者姓名： | 盛秋明 王莹 李璧如 李卫国 |
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| 作者单位： | 1. 201200,上海市浦东新区人民医院
2. 上海第二医科大学附属儿童医学中心 |
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| 摘 要： | 目的 探讨儿科重症监护病房(PICU)中影响机械通气成功的相关因素。方法 将lll例行机械通气的危重病儿分成治疗成功组与失败组，对其相关因素进行回顾性分析。结果两组患儿在上机前危重病例评分、是否伴有心跳呼吸骤停和(或)休克及并发多系统器官功能衰竭(MODS)等方面差异有权显著意义(P＜0．001)；超过48h的机械通气患儿是否继发呼吸机相关肺炎(VAP)亦有显著意义(P＜0.05)。结论 PICU中影响机械通气成功率的因素主要是原发病的性质及严重程度，并与MODS与VAP有密切关系。
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| 关 键 词： | 儿科 重症监护病房 机械通气 相关因素 治疗 临床表现 |
| 文章编号： | 1003-515X(2003)04-0274-02 |
| 修稿时间： | 2002-09-04 |
Related factors affecting the success of mechanical ventilation in pediatric intensive care unit |
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| SHENG Qiuming,WANG Ying,LI Biru,et al.. Related factors affecting the success of mechanical ventilation in pediatric intensive care unit[J]. Journal of Applied Clinical Pediatrics, 2003, 18(4): 274-275 |
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| Authors: | SHENG Qiuming WANG Ying LI Biru et al. |
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| Affiliation: | SHENG Qiuming,WANG Ying,LI Biru,et al . People's Hospital of Pudong New District,Shanghai 201200,P.R.China |
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| Abstract: | Objective To investigate the related factors that affect the success of mechanical ventilation(MV) in pediatric intensive Care Unit (PICU). Methods One hundred eleven cases in critical conditions with MV were divided into two groups:success and failure. Retrospective study of its related factors was carried out. Results Two groups had significant differences in critical score before MV, with/without cardiac and respiratory arrest or shock, complicated by multiple organ dysfunction syndrome (MODS) , P <0.001. Patients with MV over 48 hours was complicated by ventilator associated pneumonia (VAP) which had remarkable significance( P <0.05). Conclusion The related factors affecting the success of MV in PICU were the characteristics and severity of primary diseases, as well as MODS and VAP. |
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| Keywords: | pediatric intensive care unit mechanical ventilation success related factors |
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