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高流量鼻导管给氧治疗小儿急性细支气管炎

Oxygen therapy with high-flow nasal cannulas in children with acute bronchiolitis.

作者信息

Zielińska Anna, Jassem-Bobowicz Joanna Maria, Kwiatkowska Joanna

机构信息

Oddział Pediatrii, Szpitale Tczewskie.

Klinika Neonatologii, Gdański Uniwersytet Medyczny.

出版信息

Anaesthesiol Intensive Ther. 2019;51(1):51-55. doi: 10.5603/AIT.2019.0010.

Abstract

Acute bronchiolitis is a common disease in children below 24 months of age. The most common aetiology of this disease is a respiratory syncytial virus infection. Since there is no effective treatment for bronchiolitis, supportive therapy alleviating symptoms and preventing respiratory failure is recommended. Oxygen therapy and appropriate nutrition during the disease are considered effective, particularly in severe cases. The choice of oxygen support is crucial. The present paper discusses oxygen therapy using high-flow nasal cannulas. Moreover, the safety of the method, its adverse side effects and practical pre-treatment guidelines are discussed.

摘要

急性细支气管炎是24个月以下儿童的常见疾病。该疾病最常见的病因是呼吸道合胞病毒感染。由于细支气管炎没有有效的治疗方法,建议采取缓解症状和预防呼吸衰竭的支持性治疗。疾病期间的氧疗和适当营养被认为是有效的,尤其是在严重病例中。氧支持的选择至关重要。本文讨论了使用高流量鼻导管的氧疗。此外,还讨论了该方法的安全性、不良副作用和实际预处理指南。

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