High-frequency ventilation in the treatment of severe neonatal clinical observation of acute lung injury.docVIP

 PAGE \* MERGEFORMAT 8 High-frequency ventilation in the treatment of severe neonatal clinical observation of acute lung injury Wei-Qiang Li, Dong Shao-chi, Sun Hongqin, Qiao Zhongxiang 2 Keywords:: high-frequency ventilation; breathing; Acute lung injury; Newborn 【Abstract】 Objective To investigate the high-frequency ventilation (HFV) with severe neonatal acute lung injury (ALI) efficacy. ALI on 30 cases of children who needed mechanical ventilation for normal frequency ventilation (CMV) treatment, in which 10 cases of children in the oxygen concentration in FiO2 ≥ 0.8, arterial oxygen saturation in the 4h period “changed to 0.9 by HFV treatment, compared HFV group and CMV group efficacy, computer time, complications, etc. differences. Results 10 cases of children within 2h after treatment with HFV arterial oxygen saturation were ≥ 0.9. Alveolar arterial oxygen partial pressure ratio (a / A) compared with the CMV group was significantly improved oxygenation index (OI) compared with the CMV group was significantly decreased, to 8h after the results become more pronounced. Occurred BPD, PDA, IVH, pneumothorax and other complications less computer time is even shorter. Conclusion The treatment of severe ALI with CMV poor treatment of those who may try to switch to HFV. Keywords: high-frequency ventilation; breathing; Acute lung injury; Newborn Neonatal acute lung injury (ALI) is a cause of acute respiratory failure in newborns, one of the important reasons. Mechanical ventilation has been widely used ways more, in which continuous positive airway pressure (CPAP), intermittent mandatory ventilation (IMV), pressure control inverse ratio ventilation (PIRV), airway pressure release ventilation (APRV) Swift progress certain effect, reducing the mortality of ALI. However, rare reports HFV treatment of neonatal lung injury. In our hospital since June 2003 has been treated in children with severe ALI with the normal frequency ventilation (C