【摘要】 目的 總結先天性心臟病術后無創通氣的監護。 方法 2008年1-12月胸外ICU 36例先天性心臟病術后患兒，在使用無創通氣前后監測血壓、心率、呼吸及血氣變化。 結果 與無創通氣前相比，無創通氣后30 min、1 h、2 h的指標均恢復到滿意水平，循環穩定。 結論 通過采用無創通氣，80%的患兒避免了再次插管，縮短有創通氣時間，同時避免了相關的呼吸道并發癥，縮短了患兒住院時間，節省了醫療費用，提升了先天性心臟病患兒術后成活率。
【Abstract】 Objective To summarize the nursing experience of noninvasive ventilation for infants with congenital heart disease after the surgery. Methods A total of 36 patients who underwent noninvasive ventilation from January to December 2008 were enrolled. The blood pressure, heart rate, respiration, and blood gas were recorded and analyzed before and after noninvasive ventilation. Results Compared with the results before noninvasive ventilation, all of the indexes returned to a satisfying level and the circulation kept stable 30 minutes, one hour, and two hours after noninvasive ventilation. Conclusion Noninvasive ventilation may avoid reintubation, shorten the invasive ventilatory time, decrease the respiratory complications, shorten the time of hospitalization, save the medical expenses, and promote the survival rate of infants with congenital heart disease.
引用本文： 陳秒,曾玲,行雯靜,劉璐,龔仁蓉. 無創通氣用于嬰幼兒先天性心臟病術后的監護. 華西醫學, 2011, 26(1): 94-96. doi: 復制