【摘要】 目的 總結(jié)先天性心臟病術(shù)后無創(chuàng)通氣的監(jiān)護(hù)。 方法 2008年1-12月胸外ICU 36例先天性心臟病術(shù)后患兒，在使用無創(chuàng)通氣前后監(jiān)測血壓、心率、呼吸及血?dú)庾兓?b> 結(jié)果 與無創(chuàng)通氣前相比，無創(chuàng)通氣后30 min、1 h、2 h的指標(biāo)均恢復(fù)到滿意水平，循環(huán)穩(wěn)定。 結(jié)論 通過采用無創(chuàng)通氣，80%的患兒避免了再次插管，縮短有創(chuàng)通氣時(shí)間，同時(shí)避免了相關(guān)的呼吸道并發(fā)癥，縮短了患兒住院時(shí)間，節(jié)省了醫(yī)療費(fèi)用，提升了先天性心臟病患兒術(shù)后成活率。
【Abstract】 Objective To summarize the nursing experience of noninvasive ventilation for infants with congenital heart disease after the surgery. Methods A total of 36 patients who underwent noninvasive ventilation from January to December 2008 were enrolled. The blood pressure, heart rate, respiration, and blood gas were recorded and analyzed before and after noninvasive ventilation. Results Compared with the results before noninvasive ventilation, all of the indexes returned to a satisfying level and the circulation kept stable 30 minutes, one hour, and two hours after noninvasive ventilation. Conclusion Noninvasive ventilation may avoid reintubation, shorten the invasive ventilatory time, decrease the respiratory complications, shorten the time of hospitalization, save the medical expenses, and promote the survival rate of infants with congenital heart disease.
引用本文： 陳秒,曾玲,行雯靜,劉璐,龔仁蓉. 無創(chuàng)通氣用于嬰幼兒先天性心臟病術(shù)后的監(jiān)護(hù). 華西醫(yī)學(xué), 2011, 26(1): 94-96. doi: 復(fù)制
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- 6. Essouri S, Chevret L, Durand P, et al. Noninvasive positive pressure ventilation: five years of experience in a pediatric intensive care unit[J]. Pediatr Crit Care Med, 2006, 7(4): 329-334.
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