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- W3031457511 abstract "目的 探讨手控呼吸囊正压通气治疗新生儿肺动脉高压的疗效.方法 在机械通气治疗新生儿呼吸衰竭时,出现肺动脉高压,通过调节呼吸机参数及药物治疗后,血氧饱和度仍低于85%的患儿,通过多普勒超声确诊为新生儿持续肺动脉高压20例,将其分为2组,对照组继续呼吸机治疗.调整呼吸机参数,观察组则用新生儿呼吸囊(带压力表)接气管导管正压通气,吸入氧浓度1.0,呼吸频率60～80次/min,吸气峰压30～35 cm H2O(1 cm H2O=0.098 kPa),治疗期间监测肺动脉压力,当肺动脉收缩压≤75%体循环收缩压时,PaO2维持在80 mm Hg(1 mm Hg=0.133 kPa)左右,血氧饱和度大于95%持续2 h,重上呼吸机治疗.对照组及观察组药物治疗相同.结果 观察组治疗总有效率为63%,对照组总有效率为11%,差异有显著性(P＜0.05).结论 手控呼吸囊正压通气治疗新生儿持续肺动脉高压,有一定疗效,方法简便、安全。" @default.
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- W3031457511 date "2009-04-20" @default.
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- W3031457511 title "The curative effect of hand control respiration hag positive pressure ventilation on continuous pulmonary artery high pressure in neonate" @default.
- W3031457511 doi "https://doi.org/10.3760/cma.j.issn.1673-4912.2009.02.031" @default.
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