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| Analysis of indicators of tidal volume mechanical ventilation in children with acute lung injury/acute respiratory distress syndrome |
| TIAN Xing-guo |
| Department of Medical,Maternity and Child Health Care Hospital of Shangrao City,Jiangxi Province,Shangrao 334000,China |
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Abstract Objective To study the effect of different tidal volume ventilation strategies on the prognosis of children with acute lung injury/acute respiratory distress syndrome.Methods 94 children with acute lung injury/acute respiratory distress syndrome were enrolled in our hospital.All subjects were enrolled from July 2015 to July 2017,and random numbers were used.The patients were divided into the study group and the control group,47 cases in each group.The control group of children were treated with 10-12 ml/kg tidal volume for mechanical ventilation,the observation group of children were treated with 6-8 ml/kg tidal volume.The plasma ventilation time,mortality,survival time,hospitalization time and the incidence of adverse reactions were compared between the two groups.ResultsAfter 4 days of ventilation,the levels of pH,PaCO2and PaO2in the two groups were better than those in the initial ventilation(P＜0.05).After 4 days of ventilation,ventilation,pH、PaCO2、PaO2and the incidence of adverse reactions was no significant difference between the two groups(P＞0.05).The plasma ventilation time,mortality,survival time,hospitalization time in the study group lower than that in the control group,the differences were statistically significant(P＜0.05).Conclusion The effect of mall tidal volume ventilation strategy in acute lung injury/acute respiratory distress syndrome in children is better,should be recommended.
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| [1] |
李孝建，钟晓旻，邓忠远，等.肺保护性通气策略联合肺复张对严重烧伤并发急性呼吸窘迫综合征患者的疗效[J].中华烧伤杂志，2014，30（4）：305-309.
|
| [2] |
崔乃杰.急性呼吸窘迫综合征治疗的新进展[J].当代医学，2001,7（9）:28-32.
|
| [3] |
宋邵华，田惠玉，杨秀芬，等.气道压力释放通气应用于急性肺损伤/急性呼吸窘迫综合征患者的临床研究[J].中华危重病急救医学，2016，29（5）：15-21.
|
| [4] |
宋邵华，田惠玉，杨秀芬，等.气道压力释放通气应用于急性肺损伤/急性呼吸窘迫综合征患者的研究[J].临床肺科杂志，2016，21（5）：802-805.
|
| [5] |
吴庆平，尹小君，薛婷.急性呼吸窘迫综合征治疗的新进展[J].中国当代医药，2014,21（3）:24-25.
|
| [6] |
喻文，罗红敏.急性呼吸窘迫综合征肺部炎症在保护性通气策略27 h后仍持续存在且集中在侧肺[J].中华危重病急救医学，2015，34（10）：790.
|
| [7] |
黄秋月.急性呼吸窘迫综合征新生儿俯卧位机械通气效果分析[J].现代诊断与治疗，2016,27（4）:755-757.
|
| [8] |
李卿，刘松桥，陈辉，等.小潮气量通气对非急性呼吸窘迫综合征患者预后影响的Meta分析[J].中华内科杂志，2016，55（10）：784-790.
|
| [9] |
林岐，杨卫国，徐毅明，等.肺保护性通气策略在严重烧伤并发急性呼吸窘迫综合征患者救治中的运用[J].中国血液流变学杂志，2015，25（4）：469-471.
|
| [10] |
张欣，赵子平，刘宁，等.急性呼吸窘迫综合征小潮气量肺保护通气策略的预后分析[J].内科急危重症杂志，2015，21（2）：120-121.
|
| [11] |
武子霞，张延林，穆恩，等.新的肺保护性通气策略治疗重症创伤并发重度急性呼吸窘迫综合征患者的疗效观察[J].中华危重病急救医学，2016，28（9）：857.
|
| [12] |
单世民，王鹏，郝伟，等.大剂量甲强龙联合保护性通气策略治疗创伤性ARDS的疗效及机制探讨[J].山东医药，2014，27（24）：19-22.
|
| [13] |
董力杰，张蕾，芦菲，等.肺保护性通气策略联合一氧化氮吸入治疗小儿重症肺炎合并急性呼吸窘迫综合征10例报道[J].中国小儿急救医学，2014，21（1）：41-42.
|
| [14] |
喻文亮.急性呼吸窘迫综合征的肺保护性通气治疗现状和再认识[J].中华实用儿科临床杂志，2016，31（18）：1381-1383.
|
| [15] |
茹晃耀，劳志刚，戴良成，等.老年急性肺损伤与急性呼吸窘迫综合征的支持治疗[J].中国医药科学，2012，2（10）：58.
|
|
|
|
