【摘要】 目的 总结先天性心脏病术后无创通气的监护。 方法 2008年1-12月胸外ICU 36例先天性心脏病术后患儿，在使用无创通气前后监测血压、心率、呼吸及血气变化。 结果 与无创通气前相比，无创通气后30 min、1 h、2 h的指标均恢复到满意水平，循环稳定。 结论 通过采用无创通气，80%的患儿避免了再次插管，缩短有创通气时间，同时避免了相关的呼吸道并发症，缩短了患儿住院时间，节省了医疗费用，提升了先天性心脏病患儿术后成活率。
【Abstract】 Objective To summarize the nursing experience of noninvasive ventilation for infants with congenital heart disease after the surgery. Methods A total of 36 patients who underwent noninvasive ventilation from January to December 2008 were enrolled. The blood pressure, heart rate, respiration, and blood gas were recorded and analyzed before and after noninvasive ventilation. Results Compared with the results before noninvasive ventilation, all of the indexes returned to a satisfying level and the circulation kept stable 30 minutes, one hour, and two hours after noninvasive ventilation. Conclusion Noninvasive ventilation may avoid reintubation, shorten the invasive ventilatory time, decrease the respiratory complications, shorten the time of hospitalization, save the medical expenses, and promote the survival rate of infants with congenital heart disease.
Citation：
CHEN Miao,ZENG Ling,XING Wenjing,LIU Lu,GONG Renrong. Nursing Experience of Noninvasive Ventilation for Infants with Congenital Heart Disease after Surgery. West China Medical Journal, 2011, 26(1): 94-96. doi:
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| 1. |
张尔永, 万峰, 孙立忠, 等. 心血管外科学[M]. 北京：人民卫生出版社, 2009: 257.
|
| 2. |
彭慕莲. 婴幼儿心脏术后肺部物理治疗的护理[J]. 南方护理学报, 2004, 11(5): 19-20.
|
| 3. |
王辰, 张洪玉. 改进慢性阻塞性肺疾病合并呼吸衰竭的机械通气策略[J]. 中华内科杂志, 2000, 39(6): 687-689.
|
| 4. |
沈莉. 双水平无创正压通气在COPD合并Ⅱ型呼衰患者中的应用[J]. 临床肺科杂志, 2009, 20(11): 1112-1113.
|
| 5. |
李玉梅, 蓝凤林. 低体重婴幼儿先心病术后呼吸道管理[J]. 齐齐哈尔医学院学报, 2007, 28(8): 996-997.
|
| 6. |
Essouri S, Chevret L, Durand P, et al. Noninvasive positive pressure ventilation: five years of experience in a pediatric intensive care unit[J]. Pediatr Crit Care Med, 2006, 7(4): 329-334.
|
| 7. |
Keenan SP, Gregor J, Sibbald WJ, et al. Noninvasive positive pressure ventilation in the setting of severe, acute exacerbations of chronic obstructive pulmonary disease: more effective and less expensive [J]. Crit Care Med, 2000, 28(6): 2094-2102.
|
| 8. |
Girou E, Brun-Buisson C, Taille S, et al. Secular trends in nosocomial infections and mortality associated with noninvasive ventilation in patients with exacerbation of COPD and pulmonary edema [J]. JAMA, 2003, 290(22): 2985-2991.
|
- 1. 张尔永, 万峰, 孙立忠, 等. 心血管外科学[M]. 北京：人民卫生出版社, 2009: 257.
- 2. 彭慕莲. 婴幼儿心脏术后肺部物理治疗的护理[J]. 南方护理学报, 2004, 11(5): 19-20.
- 3. 王辰, 张洪玉. 改进慢性阻塞性肺疾病合并呼吸衰竭的机械通气策略[J]. 中华内科杂志, 2000, 39(6): 687-689.
- 4. 沈莉. 双水平无创正压通气在COPD合并Ⅱ型呼衰患者中的应用[J]. 临床肺科杂志, 2009, 20(11): 1112-1113.
- 5. 李玉梅, 蓝凤林. 低体重婴幼儿先心病术后呼吸道管理[J]. 齐齐哈尔医学院学报, 2007, 28(8): 996-997.
- 6. Essouri S, Chevret L, Durand P, et al. Noninvasive positive pressure ventilation: five years of experience in a pediatric intensive care unit[J]. Pediatr Crit Care Med, 2006, 7(4): 329-334.
- 7. Keenan SP, Gregor J, Sibbald WJ, et al. Noninvasive positive pressure ventilation in the setting of severe, acute exacerbations of chronic obstructive pulmonary disease: more effective and less expensive [J]. Crit Care Med, 2000, 28(6): 2094-2102.
- 8. Girou E, Brun-Buisson C, Taille S, et al. Secular trends in nosocomial infections and mortality associated with noninvasive ventilation in patients with exacerbation of COPD and pulmonary edema [J]. JAMA, 2003, 290(22): 2985-2991.
