论文部分内容阅读
病人为孕40周的剖腹产儿,体重3262g,身长55cm。一分钟Apgar评分3分。术中见胎盘表面及羊水中均有胎粪。经插管复苏,插管时见气管内有大量不洁分泌物,X线检查右侧气胸及纵隔气肿。因呼吸暂停,再次插管。经14小时抢救,不见好转,而行膜型人工肺,体外式肺辅助(extra corporeal lug assist)治疗。患儿无浮肿及大囱门膨出,超声波检查未见颅内出血。患儿实行ECLA后渐好转,低氧血症改善,气胸和纵隔气肿消失,经116小时治疗,可自由呼吸达46次/分,PaO_272.5mmHg,PaCO_237mmHg,
The patient was 40 weeks pregnant with caesarean section, weighing 3262g and length 55cm. Apgar score one minute. Intraoperative see placenta surface and amniotic fluid are meconium. Tracheal recovery, tracheal intubation see a large number of dirty discharge, X-ray examination of the right pneumothorax and mediastinal emphysema. Due to apnea, re-intubation. After 14 hours of rescue, no improvement, and line membrane type artificial lung, extracorporeal lung assist (extra corporeal lug assist) treatment. No edema in children and large fengmen bulging, no intracranial hemorrhage ultrasound examination. Children with ECLA gradually improved, hypoxemia improved pneumothorax and mediastinal emphysema disappeared after 116 hours of treatment, free breathing up to 46 beats / min, PaO_272.5mmHg, PaCO_237mmHg,