CAJ | 학술논문

目的：对重症肺炎婴幼儿患者的临床治疗方法进行探析。方法选取我院于2012年1月至2014年8月收治的入住PICU病房的38例重症肺炎幼儿患者作为本次研究对象，采用以机械通气为主的综合治疗方法对其进行治疗，对38例患儿均采用同步间歇指令通气，并加以呼气末正压进行通气治疗，初调参数均相同，随患儿的血气情况对呼吸机参数随时进行调整。结果经过治疗后，38例患儿中有36例患儿存活，2例患儿死亡。其中有2例患儿神经系统遗留后遗症。36例存活患儿的缺氧症状快速改善，恢复良好，均不存在机械通气并发症。结论在早期进行机械通气时，提升呼气末正压、适当提高吸气峰压、加长吸气的时间等措施，能够有效提升重症肺炎患儿的抢救成功率。
목적：대중증폐염영유인환자적림상치료방법진행탐석。방법선취아원우2012년1월지2014년8월수치적입주PICU병방적38례중증폐염유인환자작위본차연구대상，채용이궤계통기위주적종합치료방법대기진행치료，대38례환인균채용동보간헐지령통기，병가이호기말정압진행통기치료，초조삼수균상동，수환인적혈기정황대호흡궤삼수수시진행조정。결과경과치료후，38례환인중유36례환인존활，2례환인사망。기중유2례환인신경계통유류후유증。36례존활환인적결양증상쾌속개선，회복량호，균불존재궤계통기병발증。결론재조기진행궤계통기시，제승호기말정압、괄당제고흡기봉압、가장흡기적시간등조시，능구유효제승중증폐염환인적창구성공솔。
Objective Clinical treatment of severe pneumonia patients were of infants.Methods Check PICU ward 38 cases of severe pneumonia in pediatric patients in our hospital from January 2012 to August 2014 were treated as an object of this study, combined treatment with mechanical ventilation based its treatment, 38 children names are used synchronized intermittent mandatory ventilation and positive end expiratory pressure to perform ventilation therapy, initial adjustment parameters are the same, the situation of children with blood ventilator parameters at any time to adjust.Results After treatment, 38 children have 36 children survived, two children died. Which has two children with neurological sequelae. 36 surviving children with symptoms of hypoxia rapid improvement, recovery is good, do not exist complications of mechanical ventilation.Conclusion Early mechanical ventilation, improve PEEP, an appropriate increase in peak inspiratory pressure, inspiratory time and other measures to lengthen, can effectively improve the survival rate of children with severe pneumonia.