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12例中、重度新生儿休克患儿,因合并呼吸衰竭在抗休克的同时应用呼吸器作呼吸支持治疗。用呼吸器指征为出现严重呼吸困难或呼吸暂停,血动脉二氧化碳分压(PaCO_2>8.0kPa,1kPa=7.5mmHg),动脉血氧分压(PaO_2)<5.33kPa,吸入50%浓度氧时,以及肺出血。用呼吸器3~5小时后血气即恢复正常,临床休克症状也逐渐好转。存活患儿平均用呼吸器时间41.2小时,12例经治疗后死亡4例。作者认为休克时呼吸衰竭常可在短时间内迅速形成,及时给予有效的呼吸支持是治疗休克的重要措施之一。
Twelve cases, severe neonatal shock in children, because of respiratory failure combined with anti-shock respirators for respiratory support. Indications for severe respiratory dysfunction or apnea, arterial carbon dioxide partial pressure (PaCO_2> 8.0kPa, 1kPa = 7.5mmHg), arterial partial pressure of oxygen (PaO_2) <5.33kPa, inhalation of 50% concentration Oxygen, and pulmonary hemorrhage. 3 to 5 hours after the respirator with blood gas returned to normal, the symptoms of clinical shock also gradually improved. The average surviving children respirator time 41.2 hours, 12 cases of death after treatment in 4 cases. The authors believe that respiratory failure can often be rapidly formed in a short period of time, and timely and effective respiratory support is one of the important measures for the treatment of shock.