新生儿常见肺疾病的呼吸支持策略

新生儿呼吸支持技术应针对新生儿呼吸系统疾病不同的病理生理学特点，进行个体化治疗。以最适合的呼吸支持策略，尽可能减少其风险，达到最佳的治疗效果。本文阐述极（超）低出生体重儿的呼吸管理，胎粪吸入综合征、持续性肺动脉高压、难治性支气管肺发育不良、肺气漏、肺出血等不同肺疾病的病理生理特点、肺呼吸力学变化及机械通气管理的原则和选择。

Mechanical ventilation of the common respiratory disease in the newborn: principles and strategies

Clinicians should be now able to customize ventilatory strategies to the specific pathophysiology of the newborn with respiratory disorders. This paper focused on the various strategies that may be employed to manage the wide range of respiratory disorders encountered by preterm and term newborn infants, including respiratory distress syndrome of the very （extremely） low birth weight infants, meconium aspiration syndrome, persistent pulmonary hypertension, of the newborn, bronchopulmonary dysplasia, pneumothorax and pulmonary hemorrhage.