Acute treatment of respiratory failure.docVIP

 PAGE \* MERGEFORMAT 11 Acute treatment of respiratory failure [Keywords:] Acute respiratory failure Acute respiratory failure is a common pediatric emergency. Is the respiratory center and (or) respiratory diseases caused by dysfunction of pulmonary ventilation or ventilation, leading to hypoxia, carbon dioxide retention and respiratory acidosis, and caused a series of pathology, physiological changes and metabolic disorders in the clinical syndrome. patients showed cyanosis, difficulty breathing, irregular breathing, rhythm, do not fix other symptoms. Acute respiratory failure were divided into two kinds of central and peripheral. Central respiratory failure due to respiratory center directly affected by abuse or indirect effects of increased intracranial pressure the normal function of respiratory center, more common in the central nervous system infection, injury, poisoning and brain edema and so on, expressed as ventilation barriers to change in respiratory rhythm-based, the emergence of various abnormal breathing. peripheral respiratory failure due to severe respiratory disease in itself or respiratory muscle paralysis caused by ventilation and ventilatory dysfunction, more common in capillary bronchitis, asthma, pneumonia, atelectasis, etc., showing rapid shallow breathing, eventually can lead to central respiratory failure. [Clinical manifestations] In addition to the performance of the primary disease, mainly manifested as respiratory symptoms and hypoxemia and hypercapnia. 1. Respiratory central respiratory failure with respiratory rhythm irregularity as the main performance, the early tidal breathing, the late appeared sobbing like, sigh-like breathing, apnea, and jaw movement and so on. Peripheral respiratory failure characterized mainly be manifested as difficulty in breathing , three depressions sign. upper airway obstruction to the main inspiratory dyspnea, lower respiratory tract obstruction Zeyi breath of difficulties