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近年国内报道小儿肺炎应用呼吸器病死率较高的原因之一,是应用呼吸器太晚[1,3]。肺炎应用呼吸器指征,虽然要结合临床情况及医疗条件而决定,但血气的测定对选择应用呼吸器的时机有重要的参考价值[1,2,4,5]。我院虽从1973年以来开始应用人工呼吸器[2,6],但由于条件限制仍有不少肺炎呼吸衰竭危重病儿没有使用人工呼吸器。本文对175例没有使用人工呼吸器的肺炎合并呼吸衰竭患儿的血气及预后作一回顾性分析,探讨婴幼儿肺炎合并呼吸衰竭时应用呼吸器的指征。
In recent years, one of the reasons for the high mortality rate of respiratory protection in pediatric pneumonia reported in China is that it is too late to use respirators [1,3]. The application of respirator indications in pneumonia, although it depends on clinical conditions and medical conditions, but the blood gas determination of the timing of the selection of respirators have an important reference value [1,2,4,5]. Although our hospital began to use artificial respirators since 1973 [2,6], there are still many respirators not used in critically ill children with pneumonia due to the limited conditions. This article retrospectively analyzed the blood gas and prognosis of 175 children with pneumonia and respiratory failure without artificial respirator, and explored the indications of using respirator in infant pneumonia with respiratory failure.