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目的:探讨新生儿机械通气常见并发症的防治措施。方法:分析NICU应用呼吸器治疗28例危重新生儿并严格按照常规机械通气并发症的防治方案进行治疗的结果。结果:28例中16例发生1～3种并发症,并发症以肺部感染最常见,部分为颅内出血和败血症,留有严重后遗症。结论:机械通气时应加强呼吸道管理,严格遵守无菌操作规程,并密切监测生命体征,随时根据血气及时调节呼吸机参数,适当应用部分血管活性药物以改善微循环,积极预防并早期诊治机械通气并发症。
Objective: To investigate the prevention and treatment of common complications of neonatal mechanical ventilation. Methods: The results of NICU treatment of 28 critically ill newborns treated with ventilator in the prevention and treatment of routine mechanical ventilation complications were analyzed. Results: Of the 28 cases, 1 to 3 complications occurred in 16 cases. The most common complication was pulmonary infection. Some of them were intracranial hemorrhage and sepsis, leaving severe sequelae. Conclusion: Ventilation management should be strengthened during mechanical ventilation. Aseptic procedures should be strictly followed. Vital signs should be closely monitored. Ventilator parameters should be adjusted according to blood gas at any time. Part of vasoactive drugs should be used appropriately to improve microcirculation. Active prevention and early diagnosis and treatment of mechanical ventilation complication.