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17例急性呼吸衰竭的新生儿,通过超声心动图和多普勒检查确诊为肺动脉高压,给予一氧化氮(NitricOxide,NO)吸入治疗,除1例无效、2例死于出血性疾病,其中14例获得明显的疗效。护理体会:严格掌握适应证,使用时持续进行NO及二氧化氮(NO2)浓度监测,严密进行心率、呼吸、动脉血压及血氧饱和度的动态监测,根据病情及血氧饱和度的变化及时调整呼吸机各参数,并于24h左右逐渐撤离NO,在使用过程中应严密观察毒性及副作用。本文还介绍了NO临床使用方法及NO治疗并发症的护理。
Seventeen newborns with acute respiratory failure were diagnosed as pulmonary hypertension by echocardiography and Doppler examination. Nitric Oxide (NO) inhalation was given. One patient died of hemorrhagic disease except one, and 14 Obtained significant effect. Nursing experience: Strict control of indications, the use of continuous monitoring of NO and nitrogen dioxide (NO2) concentrations, close heart rate, respiration, arterial blood pressure and oxygen saturation of the dynamic monitoring, according to the disease and changes in oxygen saturation in time Adjust ventilator parameters, and gradually evacuated in about 24h NO, the use of the process should be closely observed toxicity and side effects. This article also describes the clinical use of NO and NO treatment of complications of care.