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新生儿术中不同通气方式的研究进展

Research Progress of Different Ventilation Modes in Neonates During Surgery

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【作者】 田歌; 刘金柱;

【Author】 TIAN Ge;LIU Jinzhu;Tianjin Key Laboratory for Prevention and Control of Childbirth Defects, Tianjin Children’s Hospital/Tianjin University Children’s Hospital;Department of Pediatrics, Tianjin Children’s Hospital/Tianjin University Children’s Hospital;

【机构】 天津市儿童医院/天津大学儿童医院天津市儿童出生缺陷防治重点实验室; 天津市儿童医院/天津大学儿童医院儿科;

【摘要】 因新生儿的特殊生理结构和病理需求,新生儿手术治疗较为复杂且敏感,通气治疗是其术中呼吸支持的基本手段。随着医学技术不断发展,通气治疗技术被应用于新生儿疾病治疗中,其在新生儿手术中的重要性和复杂性已被证实。通气治疗不仅可为手术操作提供理想手术视野与操作空间,保证手术顺利实施,并能改善患儿氧合功能、降低炎性反应、预防术后并发症、提高新生儿存活率。现阶段临床存在多种通气方式,其分别在不同新生儿手术中发挥重要效用。本文从不同通气方式在新生儿手术中的应用、常见有创、无创通气方式在新生儿手术中的应用、通气治疗对手术患儿的影响这几方面进行综述,旨在为临床提升新生儿术中通气效果提供一定参考依据。

【Abstract】 Because of the special physiological structure and pathological needs of neonates, neonatal surgical treatment is more complex and sensitive, and ventilation is the basic means of intraoperative respiratory support. With the continuous development of medical technology, ventilation therapy technology has been applied in the treatment of neonatal diseases, and its importance and complexity in neonatal surgery has been confirmed.Ventilation can not only provide an ideal surgical field and operating space for surgical operation and ensure the smooth implementation of surgery,but also improve the oxygenation function, reduce the inflammatory response, prevent postoperative complications, and improve the survival rate of newborns. At this stage, there are many types of clinical ventilation methods, which play an important role in different neonatal surgeries. This article reviews the application of different ventilation modes in neonatal surgery, the application of common invasive and noninvasive ventilation modes in neonatal surgery, and the effect of ventilation on surgical children, aiming to provide a certain reference basis for clinical improvement of neonatal intraoperative ventilation.

【基金】 天津市医学重点学科(专科)建设项目(编号:TJYXZDXK-040A)
  • 【文献出处】 医学信息 ,Journal of Medical Information , 编辑部邮箱 ,2025年15期
  • 【分类号】R726.1
  • 【下载频次】4
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