Birnkrant D J, Pope J F, Eiben R M
Case Western Reserve University School of Medicine, Cleveland, Ohio, USA.
J Child Neurol. 1997 Jun;12(4):231-6. doi: 10.1177/088307389701200401.
Noninvasive nasal ventilation is an effective but underutilized method of chronic respiratory support for patients with respiratory insufficiency due to neuromuscular disease. Noninvasive nasal ventilation corrects nocturnal hypoxia and hypercapnia, resolving symptoms of chronic alveolar hypoventilation. Noninvasive nasal ventilation can allow selected patients with acute respiratory failure to avoid intubation and it can facilitate endotracheal extubation. Practical guidelines and the rationale for pediatric noninvasive nasal ventilation therapy will be discussed in this review.
无创鼻通气是一种有效的慢性呼吸支持方法，但在因神经肌肉疾病导致呼吸功能不全的患者中未得到充分利用。无创鼻通气可纠正夜间低氧血症和高碳酸血症，缓解慢性肺泡通气不足的症状。无创鼻通气可使部分急性呼吸衰竭患者避免插管，并有助于气管插管后的拔管。本综述将讨论儿科无创鼻通气治疗的实用指南及其理论依据。
