有创机械通气患儿呼吸评估与治疗进展

Advances in respiratory assessment and treatment in children undergoing invasive mechanical ventilation

摘要:

机械通气技术的广泛应用使得很多呼吸衰竭患儿得到成功救治。同时，强制通气、肺部正常呼吸生理及呼吸力学的改变会导致呼吸功能减退以及气道廓清能力下降。因此，如何根据儿童自身生理特点进行全面、精准的呼吸功能评估，进行适宜的呼吸功能康复，以尽快拔除气管插管，缩短机械通气时间，是目前儿童重症机械通气有效撤机的研究重点。该文就有创机械通气患儿呼吸功能评估与治疗方法进展进行综述。

Abstract:

The widespread use of mechanical ventilation technology has contributed to the successful treatment of many children with respiratory failure. At the same time, forced ventilation and changes in normal respiratory physiology and mechanics may lead to respiratory dysfunction and decreased airway clearance ability. Therefore, how to perform a comprehensive and accurate respiratory function assessment, conduct appropriate respiratory function rehabilitation, perform extubation as soon as possible, and shorten the duration of mechanical ventilation based on the children's own physiological characteristics, is a focus of the research on effective weaning from mechanical ventilation in children with severe conditions. This article reviews the advances in the respiratory function assessment and treatment methods in children undergoing invasive mechanical ventilation.