中国实用儿科杂志

中国实用儿科杂志

• 专题笔谈 • 上一篇    下一篇

新生儿机械通气治疗允许性高碳酸血症

  

  1. 华中科技大学同济医学院附属同济医院儿科，湖北  武汉  430030
  • 出版日期:2016-02-06 发布日期:2016-03-09

Application of permissive hypercapnia in mechanical ventilation in the newborn

  1. Department of Pediatrics，Tongji Hospital，Tongji Medical College，Huazhong University of Science and Technology，Wuhan  430030，China
  • Online:2016-02-06 Published:2016-03-09

摘要：

机械通气是救治新生儿呼吸衰竭的重要手段， 但过高的压力和（或）过大的潮气量常导致机械通气相关性肺损伤的发生。允许性高碳酸血症是目前最常采用的肺保护性通气策略之一， 其在新生儿合理应用范围、 减少呼吸机相关性肺损伤中的意义及目前争论的问题值得探讨。

关键词: 允许性高碳酸血症, 机械通气相关性肺损伤, 允许性高碳酸血症通气

Abstract:

Mechanical ventilation plays an important role in treatment of neonatal respiratory failure. But high peak airway pressure and/or large tidal volume often leads to mechanical ventilation associated lung injury. Permissive hypercapnia is currently one of the most commonly used methods to reduce lung injury. Its reasonable range，its effect on ventilator associated lung injury and the current debate are worthy of concern.

Key words: permissive hypercapnia, ventilation associated lung injury, permissive hypercapnia ventilation