Yang Xue, Xu Pei-Feng, Shan Ling, Lang Li-Gang, DU Lin, Jia Fei-Yong
Department of Developmental and Behavioral Pediatrics, First Hospital of Jilin University, Changchun 130021, China.
Zhongguo Dang Dai Er Ke Za Zhi. 2019 Jan;21(1):94-99. doi: 10.7499/j.issn.1008-8830.2019.01.017.
The widespread use of mechanical ventilation technology has contributed to the successful treatment of many children with respiratory failure. At the same time, forced ventilation and changes in normal respiratory physiology and mechanics may lead to respiratory dysfunction and decreased airway clearance ability. Therefore, how to perform a comprehensive and accurate respiratory function assessment, conduct appropriate respiratory function rehabilitation, perform extubation as soon as possible, and shorten the duration of mechanical ventilation based on the children's own physiological characteristics, is a focus of the research on effective weaning from mechanical ventilation in children with severe conditions. This article reviews the advances in the respiratory function assessment and treatment methods in children undergoing invasive mechanical ventilation.
机械通气技术的广泛应用有助于成功治疗许多呼吸衰竭患儿。与此同时，强制通气以及正常呼吸生理和力学的改变可能导致呼吸功能障碍和气道清除能力下降。因此，如何根据患儿自身生理特点进行全面、准确的呼吸功能评估，开展适当的呼吸功能康复治疗，尽早进行拔管，并缩短机械通气时间，是重症患儿机械通气有效撤机研究的重点。本文综述了接受有创机械通气患儿呼吸功能评估及治疗方法的进展。
