【摘要】 １２例中、重度新生儿休克患儿，因合并呼吸衰竭在抗休克的同时应用呼吸器作呼吸支持治疗。用呼吸器指征为出现严重呼吸困难或呼吸暂停，血动脉二氧化碳分压（ＰａＣＯ＿２＞８．０ｋＰａ，１ｋＰａ＝７．５ｍｍＨｇ），动脉血氧分压（ＰａＯ＿２）＜５．３３ｋＰａ，吸入５０％浓度氧时，以及肺出血。用呼吸器３～５小时后血气即恢复正常，临床休克症状也逐渐好转。存活患儿平均用呼吸器时间４１．２小时，１２例经治疗后死亡４例。作者认为休克时呼吸衰竭常可在短时间内迅速形成，及时给予有效的呼吸支持是治疗休克的重要措施之一。更多还原

【Abstract】 AbstractUse of ventilator as respiratory support in treat-ment of 12 newbom infants with shock complicatedwith respiratory failure is reported. The indication forapplying ventilator was manifestations of respiratorydistress or apnea, PaCO₂>8.0kPa, PaO₂<5.33kPa（Fio₂=0.5） and pulmonary hemorrhage. 3～ 5 hoursafter applying ventilator, the blood gas became normal and the clinical manifestations much improved. Themean duration of mechanical ventilation was 41.2hours in survived infants. 4 of the 12 infants died. Theauthors suggested that because respiratory failure de-velops fast in neonatal shock, it is important to userespiratory support therapy promptly and early.更多还原