中国实用儿科杂志

中国实用儿科杂志 ›› 2022, Vol. 37 ›› Issue (2): 110-113.DOI: 10.19538/j.ek2022020607

• 专题笔谈 • 上一篇    下一篇

儿童无创通气的局限性及气管插管介入时机选择

  

  1. 重庆医科大学附属儿童医院重症医学科  儿童发育疾病研究教育部重点实验室  儿科学重庆市重点实验室  儿童发育重大疾病国家国际科技合作基地  国家儿童健康与疾病临床医学研究中心（重庆），重庆  400014
  • 出版日期:2022-02-06 发布日期:2022-02-20
  • 通讯作者: 许峰，电子信箱：xufeng9899@163.com

Deficiency of noninvasive ventilation and timing of endotracheal intubation in children

  1. Department of Critical Care Medicine，Children’s Hospital，Chongqing Medical University；Ministry of Education Key Laboratory of Child Development and Disorders；Chongqing Key Laboratory of Pediatrics；China International Science and Technology Cooperation Base of Child Development and Critical Disorders；National Clinical Research Center for Child Health and Disorders （Chongqing），Chongqing  400014，China 
  • Online:2022-02-06 Published:2022-02-20

摘要： 近年来，无创通气在儿童呼吸支持领域有了较快发展。无创通气无需气管插管，操作简便，对部分呼吸道疾病有较为满意的疗效。但是，无创通气不能完全替代有创机械通气。在有些疾病无创通气不仅有着较高的失败率，而且会因气管插管的延误导致病情恶化，增加患儿的病死率。在行无创通气之前需评估患儿是否适宜进行无创通气治疗。对于进行无创通气治疗的患儿需严密监护，动态观察生理指标和监测数据的变化，掌握好气管插管的时机，以免造成有创机械通气治疗的延误。

关键词: 无创通气, 有创机械通气, 气管插管, 儿童

Abstract: In recent years，noninvasive ventilation has developed rapidly in the field of respiratory support in children.Noninvasive ventilation does not need endotracheal intubation.It is easy to operate and has satisfactory curative effect on some serious respiratory diseases.However，noninvasive ventilation cannot replace invasive ventilation completely. In some cases，noninvasive ventilation has a high failure rate，and the delay of endotracheal intubation can lead to the deterioration of the disease and increase the mortality of children.Pediatricians need to evaluate whether the patient is suitable for NIV treatment.For children treated with NIV，close monitoring is needed to observe the changes in physiological indexes and monitoring data，and the timing of endotracheal intubation must be suitable，so as to avoid the delay of IMV treatment.

Key words: noninvasive ventilation, invasive mechanical ventilation, endotracheal intubation, child