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目的评估机械通气治疗新生儿休克的作用。方法对 6例新生儿休克并呼吸衰竭患儿 ,用纽邦 E-2 0 0型呼吸机呼吸支持治疗 ,呼吸器参数预调为 :吸入氧浓度 0 .6～ 0 .8,呼吸频率 3 0～ 40次 /min,最高吸气压 1.96～ 2 .45 k Pa,呼吸末正压 0 .196～ 0 .490 k Pa。结果6例中死亡 2例 ;存活患儿中 ,用呼吸器 3～ 2 4小时血气恢复正常 ,休克症状逐渐好转 ,用呼吸器时间为 2 2～ 12 0小时。结论维护肺功能 ,采用有效的呼吸支持是治疗休克的重要措施之一。
Objective To evaluate the effect of mechanical ventilation on neonatal shock. Methods Six neonates with respiratory failure and respiratory failure were treated with Niuban E-200 ventilator. The ventilator parameters were presumed to be: inhaled oxygen concentration of 0.6 ~ 0.8 and respiratory rate of 30 ~ 40 beats / min, the highest inspiratory pressure 1.96 ~ 2.45 kPa, the end of breathing positive pressure 0.196 ~ 0. 490 kPa. Results 6 patients died in 2 cases; survived children, 3 to 24 hours with respirator blood returned to normal, progressive improvement in shock symptoms, respirator time was 2 2 ~ 120 hours. Conclusion The maintenance of lung function, the use of effective respiratory support is one of the important measures for the treatment of shock.