CAJ | 학술논문

目的：探讨常频通气叠加高频通气治疗新生儿重症呼吸衰竭的疗效。方法对收住我院新生儿科使用常频通气或高频通气无效的4例重症呼吸衰竭新生儿，改用常频通气叠加高频通气治疗。结果4例重症呼吸衰竭新生儿改用常频通气叠加高频通气治疗后血气pH、PaO2、PaCO2、SaO2、氧合指数（OI）均较前改善。4例中3例治愈，1例自动出院，血气指标改善，血氧饱和度达正常。结论常频通气叠加高频通气治疗新生儿重症呼吸衰竭有效。
목적：탐토상빈통기첩가고빈통기치료신생인중증호흡쇠갈적료효。방법대수주아원신생인과사용상빈통기혹고빈통기무효적4례중증호흡쇠갈신생인，개용상빈통기첩가고빈통기치료。결과4례중증호흡쇠갈신생인개용상빈통기첩가고빈통기치료후혈기pH、PaO2、PaCO2、SaO2、양합지수（OI）균교전개선。4례중3례치유，1례자동출원，혈기지표개선，혈양포화도체정상。결론상빈통기첩가고빈통기치료신생인중증호흡쇠갈유효。
Objective To explore the clinical effect of conventional ventilation combined with high frequency oscillatory ventilation in treatment of neonatal serious respiratory failure.Methods Four cases of newborn serious respiratory failure Patients,failed only with conventional ventilation or high frequency oscillatory ventilation in our department were added with conventional ventilation combined with high frequency oscillatory ventilation.Results The difference in indices of pH、PaO2、PaCO2、SatO2 and OI in four patients before and after treatment was significant. PaO2、SatO2 was significantly increased and PaCO2、OI was significantly decreased in four patients after treatment with conventional ventilation combined with high frequency oscillatory ventilation.3 cases were cured and another was given up treatment.Conclusion The treatment of conventional ventilation combined with high frequency ventilation in neonatal patients with serious respiratory failure is effective.