Shneerson J M
Respiratory Support and Sleep Centre, Papworth Hospital, Cambridge, UK.
Monaldi Arch Chest Dis. 1996 Oct;51(5):426-30.
Various neuromuscular and pulmonary disorders can cause ventilatory failure in children. Tracheostomy ventilation in the home is especially valuable in younger children who require ventilatory support for most of the day and who have bulbar dysfunction but newer noninvasive techniques especially nasal mask ventilation are often preferable. It is important to select the type of ventilator and to choose the interface with the patient carefully in order to maximise the child's quality of life.
多种神经肌肉和肺部疾病可导致儿童呼吸衰竭。对于大部分时间需要呼吸支持且存在延髓功能障碍的年幼儿童,家庭气管造口通气尤为重要,但更新的无创技术尤其是鼻面罩通气通常更可取。为了最大限度地提高儿童的生活质量,选择合适的呼吸机类型并仔细选择与患者的连接界面非常重要。