小儿重症肺炎合并呼吸衰竭的临床措施分析-国际儿科研究杂志-CSCIED科技核心评价数据库-手机版

小儿重症肺炎合并呼吸衰竭的临床措施分析

Clinical analysis of severe pneumonia complicated with respiratory failure in children

ES评分 0 浏览量：673 下载量：0

DOI	10.12208/j. ijped. 20220019
刊名	国际儿科研究杂志 International Journal of Pediatrics Research
年，卷(期)	2022, 2(2)
作者	杨艳飞*,
作者单位	文山市人民医院云南文山 ;
摘要	探究儿科患者重症肺炎合并呼吸衰竭的有效临床措施。方法整理本院儿科收治的2020年7月到2021年6月期间入院42例儿童重症肺炎病历资料开展研究，随机进行治疗分组，其中对照组施行基础治疗（根据年龄选用头罩、或面罩、镇静、抗感染、利尿、止咳平喘、强心），观察组在基础治疗的同时，采取早期持续气道正压通气治疗，对比两组治疗24小时后的PaO2/mmHg、PaCO2/mmHg、FiO2/%指标；对比两组肺部啰音、发绀、呼吸困难消失的时间以及总住院时间；统计两组治疗有效率。结果观察组PaO2/mmHg>对照组、PaCO2<对照组、FiO2%<对照组；观察组肺部啰音、发绀、呼吸困难消失的时间<对照组，住院时间<对照组；总有效95.24%>对照组85.71%，（P<0.05）。结论小儿重症肺炎合并呼吸衰竭，在基础治疗之上，采取早期持续气道正压通气治疗可尽快遏制疾病发展、稳定患儿体征并提升最终治疗效率。
Abstract	Objective To explore the effective clinical measures of pediatric patients with severe pneumonia complicated with respiratory failure. Methods Of pediatric treated in our hospital during July 2020 to June 2021 in hospital medical records of 42 cases of severe pneumonia in children research, randomized to treatment group, in- cluding the control of foundation treatment (according to age the hood, or mask, composed, anti-infection, diuresis, cough and asthma, cardiac), the observation group in the foundation treatment at the same time, The PaO2/mmHg, PaCO2/mmHg and FiO2/% indexes were compared between the two groups 24 hours after treatment. The time of disappearance of pulmonary rales, cyanosis and dyspnea and total hospital stay were compared between the two groups. The effective rate of the two groups was calculated. Results PaO2/mmHg in observation group was higher than control group, PaCO2 was lower than control group, FiO2% was lower than control group. Time of disappear- ance of pulmonary rales, cyanosis and dyspnea in observation group
关键词	小儿重症肺炎；呼吸衰竭；早期持续气道正压通气
KeyWord	Severe pneumonia in children; Respiratory failure; Early continuous positive airway pressure ventilation
基金项目
页码	19-21

参考文献
相关文献

[1] 马文浩. 综合护理干预对小儿重症肺炎并发呼吸衰竭的效果[J].饮食保健,2021(40):235-236.

[2] Nicolai L, Leunig A, Brambs S, et al. Immunothrombotic Dysregulation in COVID-19 Pneumonia Is Associated With Respiratory Failure and Coagulopathy[J]. Circulation, 2020,142(12):1176-1189.

[3] Lee S I, Lim C M, Koh Y, et al. The effectiveness of vitamin C for patients with severe viral pneumoniain respiratory failure[J]. Journal of Thoracic Disease, 2021(2):632-641.

[4] 冯亚婷,刘玉平,任玲,等. 经鼻导管高流量氧疗在新生儿重症肺炎合并呼吸衰竭治疗中的临床应用[J].徐州医科大学学报,2020,40(7):513-516.

[5] 张丽,朱美玉,李杨. 综合护理在小儿重症肺炎并发呼吸衰竭中的临床应用效果[J].我和宝贝,2021,11(11):2.

[6] 周洪斌. 小儿重症肺炎合并呼吸衰竭的急诊急救措施分析[J].健康之友,2019(4):57-58

[7] 刘燕. 小儿重症肺炎合并呼吸衰竭的急诊急救措施及效果观察[J].中国社区医师,2021,37(1):32-33

[8] 余友才综合护理在小儿重症肺炎并发呼吸衰竭中的效果分析[J].特别健康,2020(27):198-199.

引用本文

杨艳飞*. 小儿重症肺炎合并呼吸衰竭的临床措施分析 [J]. 国际儿科研究杂志. 2022; 2; (2). 19 - 21.

文献评论

相关学者

相关机构