鼻塞持续气道正压通气治疗新生儿呼吸衰竭临床观察

目的观察经鼻塞持续气道正压通气(N-CPAP)治疗新生儿呼吸衰竭的效果。方法应用STEPHANN-CPAP小儿呼吸机对30例危重新生儿进行经鼻塞持续气道正压通气呼吸支持治疗,观察治疗前后临床症状和血气变化。结果治疗有效25例,无效5例。治疗有效患儿使用N-CPAP时间12~96h,平均(32±4)h。并发症为鼻黏膜损伤,共12例。全部病例均治愈出院。结论N-CPAP治疗新生儿肺炎并呼吸衰竭及早产儿原发性呼吸暂停效果显著,是新生儿科一种简便易行、无创安全、疗效显著的呼吸支持设备。

Clinical observation of N-CPAP in neonatal respiratory failure

ObjectiveTo investigate the effect of N-CPAP on neonatal respiratory failure.MethodsSTEPHAN N-CPAP device was used in 30 critical newborns.The variation of clinical symptom,blood gas analysis were monitored.ResultsAfter using N-CPAP device,25 cases got improvement in dyspnea and anoxia,the other 5 cases was inefficiency.The only complication was the injury of nasal mucosa,which occurred in 12 cases.All of the 30 cases discharged with healing.ConclusionsN-CPAP is effective to treat neonatal respiratory failure.The device with air-oxygen mixture instrument and thermohydrophic pot is safe,economic and effective.