Beasley J M, Jones S E
Br Med J (Clin Res Ed). 1981 Dec 5;283(6305):1506-8. doi: 10.1136/bmj.283.6305.1506.
Over five years 23 infants with evidence of respiratory insufficiency due to bronchiolitis were managed with continuous positive airway pressure (CPAP). This was applied through either a short nasal cannula (14 patients) or an endotracheal tube (nine patients). Clinical improvement was seen in all patients, and there were significant falls in mean respiratory and pulse rates and pressure of carbon dioxide (PCO2). Seven infants with PCO2 values exceeding 8.0 KPa (60.2 mm Hg) responded particularly well. CPAP is effective in bronchiolitis, and when applied by the nasal route it is relatively free from complications.
在五年期间,对23名因细支气管炎而有呼吸功能不全迹象的婴儿采用持续气道正压通气(CPAP)进行治疗。通过短鼻插管(14例患者)或气管内插管(9例患者)来应用CPAP。所有患者均有临床改善,平均呼吸频率、脉搏率和二氧化碳分压(PCO2)均显著下降。7名PCO2值超过8.0千帕(60.2毫米汞柱)的婴儿反应特别良好。CPAP对细支气管炎有效,经鼻途径应用时并发症相对较少。