摘要
目的探讨婴儿危重先天性心脏病(CHD)应用呼吸机辅助治疗的重要性及临床特点。方法回顾性分析危重CHD婴儿21例。结合CHD婴儿并呼吸衰竭的病理生理特点,分析呼吸机辅助治疗在婴儿CHD并呼吸衰竭情况下的临床应用。结果本组患儿主要畸形为室间隔缺损(57.1%)。非青紫型CHD均并Ⅱ型呼吸衰竭(13例);青紫型CHD8例中,2例并Ⅰ型呼吸衰竭,另6例并Ⅱ型呼吸衰竭。机械通气后2h低氧血症和(或)高碳酸血症均得到不同程度纠正。应用呼吸机治疗20h后易并低碳酸血症(28·5%)。结论呼吸机辅助治疗是婴儿CHD并呼吸衰竭的重要治疗措施,恰当应用是抢救成功的关键。
Objective To study the significance and clinical characteristics of application of mechanical ventilation to complement the treatment of severe infant congenital heart disease（CHD）. Methods Clinical data of 21 cases of severe infant CHD from 2000 -2004 in this hospital were reviewed and analyzed. Based on the pathophysiological characteristics of CHD complicated with respiratory failure, the ventilator treatment on such cases in infants was analyzed in clinical practice. Results The major malformation was ventricular septal defects（ 57.1% ）. CHD with non - cyanosis was combined with type Ⅱ respiratory failure（ 13 cases） ;2 of 8 cases of cyanosis were combined with type Ⅰ respiratory failure, and the other 6 cases combined with type Ⅱ respiratory failure. Within 2 hours after mechanical ventilation the hypoxemia and （or） hypercapnic had been seen adjusted to different degree. Application of mechanical ventilation for 20 hours would result in hypocapnic （28.5%）. Conclusion Mechanical ventilation treatment shall be a significant method,and its appropriate application will be the key to success.
出处
《实用儿科临床杂志》
CAS
CSCD
北大核心
2007年第1期24-25,共2页
Journal of Applied Clinical Pediatrics
关键词
心脏病
先天性
呼吸衰竭
呼吸机治疗
婴儿
heart disease, congenital
respiratory failure
ventilater treatment
infant
