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目的探讨常频机械通气治疗新生儿呼吸窘迫综合征的常见并发症和防治方法。方法回顾性分析经常频机械通气治疗的82例呼吸窘迫综合征患儿临床资料。结果本组严重机械通气并发症发生率为54.9%(45/82),位居首位的是呼吸机相关肺炎(29.3%),其发生率与机械通气时间呈正相关,其次为脑室内出血(15.9%)、肺出血(3.7%)。结论新生儿呼吸窘迫综合征常频机械通气治疗并发症中以呼吸机相关肺炎发生率最高,且与机械通气时间密切相关。
Objective To investigate the common complications and prevention and treatment of neonatal respiratory distress syndrome treated by frequent mechanical ventilation. Methods The clinical data of 82 children with respiratory distress syndrome who underwent frequent mechanical ventilation were retrospectively analyzed. Results The incidence of severe mechanical ventilation complications in this group was 54.9% (45/82). Respiratory pneumonia (29.3%) was the highest in the group with a positive correlation with mechanical ventilation time followed by intraventricular hemorrhage (15.9% ), Pulmonary hemorrhage (3.7%). Conclusion The incidence of ventilator-associated pneumonia is the highest in the complications of neonatal respiratory distress syndrome in patients undergoing frequent mechanical ventilation, and is closely related to the time of mechanical ventilation.