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对自1988~1995年我院儿科新生儿病房使用人工呼吸器抢救危重新生儿78例进行了分析。1988~1991年治疗17例,死亡率58.8%,1992~1995年治疗61例,死亡率24.6%。重点分析了呼吸器使用中发生的主要并发症及防治方法,肺部感染是使用呼吸器中最常见和最严重的并发症,是使用呼吸器患儿最主要的死亡原因之一。由于对本组患儿气道压力及使用高浓度氧的时间做了严格控制,气胸及其它气压伤以及氧中毒的发生率都较低。
From 1988 to 1995, pediatric neonatal ward in our hospital use of respirators to rescue critically ill newborns in 78 cases were analyzed. From 1988 to 1991, 17 cases were treated, with a mortality rate of 58.8%. From 1992 to 1995, 61 cases were treated with a mortality rate of 24.6%. The main complication and prevention and treatment methods of respirator are analyzed emphatically. Pulmonary infection is the most common and serious complication of respirator. It is one of the most important causes of death in children with respirator. Due to the strict control of the airway pressure and the time of using high concentration of oxygen in this group of children, the incidence of pneumothorax and other barotrauma and oxygen poisoning is relatively low.