近日,潍坊市坊子区人民医院儿科应用新购进的CPAP(持续气道正压通气)无创呼吸机成功治愈一例新生儿重症肺炎并肺不张的新生婴儿。
这位刚出生才10天的婴儿由母亲抱着来到了该院儿科门诊,据母亲介绍,婴儿昨天在家中出现了咳嗽、憋气症状,有痰却不易咳出。接诊医生检查发现,患儿鼻子堵塞,张口呼吸,嘴的四周发紫,口中吐沫,双肺呼吸音粗,可听到湿罗音。经过系列检查后确诊为:新生儿肺炎、新生儿肺不张、呼吸衰竭。
明确病情后,医务人员使用新购进的CPAP无创呼吸机为患儿进行积极治疗,患儿喘憋症状明显减轻,病情逐步好转,第6天时肺不张解除。停用CPAP,继续对症治疗,第12天时患儿不咳嗽了,不气喘了,体重还增加了1公斤,终于痊愈出院。
CPAP无创呼吸机适用于有自主呼吸的患儿,它不需要进行气管插管等创伤性操作就能实现辅助通气。在一定条件下,其调整呼吸功能的效果能够媲美甚至优于有创呼吸机,大大减少使用有创呼吸机引发的感染、出血、口腔粘膜和呼吸道创伤等并发症。针对不同病情,无创呼吸机的科学使用可提高治疗效果,降低新生儿、早产儿死亡率。CPAP在儿科的开展应用,是该院在新生儿呼吸疾病的治疗方面取得的又一重大进步。
这位刚出生才10天的婴儿由母亲抱着来到了该院儿科门诊,据母亲介绍,婴儿昨天在家中出现了咳嗽、憋气症状,有痰却不易咳出。接诊医生检查发现,患儿鼻子堵塞,张口呼吸,嘴的四周发紫,口中吐沫,双肺呼吸音粗,可听到湿罗音。经过系列检查后确诊为:新生儿肺炎、新生儿肺不张、呼吸衰竭。
明确病情后,医务人员使用新购进的CPAP无创呼吸机为患儿进行积极治疗,患儿喘憋症状明显减轻,病情逐步好转,第6天时肺不张解除。停用CPAP,继续对症治疗,第12天时患儿不咳嗽了,不气喘了,体重还增加了1公斤,终于痊愈出院。
CPAP无创呼吸机适用于有自主呼吸的患儿,它不需要进行气管插管等创伤性操作就能实现辅助通气。在一定条件下,其调整呼吸功能的效果能够媲美甚至优于有创呼吸机,大大减少使用有创呼吸机引发的感染、出血、口腔粘膜和呼吸道创伤等并发症。针对不同病情,无创呼吸机的科学使用可提高治疗效果,降低新生儿、早产儿死亡率。CPAP在儿科的开展应用,是该院在新生儿呼吸疾病的治疗方面取得的又一重大进步。
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