| 摘要: |
| ［摘要］ 目的 探讨侧卧位通气治疗体外循环术后患儿低氧血症的疗效。方法 对体外循环术后行机械通气的18例低氧血症患儿实施健侧卧位通气，分别于侧卧位通气前、实施侧卧位通气后1 h、恢复仰卧位通气后1 h做血气分析，观察各呼吸循环指标的变化。结果 实施侧卧位通气1 h后氧分压（PO2）及PaO2/FiO2较仰卧位通气时升高（P<0.01），而各循环指标无明显变化（P>0.05）；恢复仰卧位后1 h时，氧分压（PO2）及PaO2/FiO2虽较侧卧位通气时下降，但仍高于体位改变为侧卧位通气前（P<0.01）。结论 侧卧位通气对治疗体外循环术后患儿低氧血症有明显疗效。 |
| 关键词: 侧卧位通气 低氧血症 体外循环 婴幼儿 |
| DOI：10.3969/j.issn.1674-3806.2010.02.06 |
| 分类号:R 654.2 |
| 基金项目:广西医疗卫生重点科研课题（编号：桂卫重200817） |
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| Appilication of lateral position ventilation in infant with extracorporeal circulation hypoxemia |
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WU Yan, WEI Jing, NA Wen-yan,et al.
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Department of Cardiovascular & Thoracic Surgery, the People′s Hospital of Guangxi Zhuang Autonomous Region, Nanning 530021, China
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| Abstract: |
| ［Abstract］ Objective To explore the effect of lateral position ventilation in infant with extracorporeal circulation hypoxia.Methods Lateral position ventilation was used in 18 infant patients with extracorporeal circulation hypoxia. Blood gas analysis was conducted before ventilation and 1 hour after lateral position ventilation and 1 hour after supine ventilation was resumed to observe the effect of different body position for ventilation on respiratory and circulatory parameters of patients.Results After 1 hour of lateral ventilation, their PO2 and PaO2/FiO2 was higher than those before ventilation（P<0.01）,there was no significant differences in respiratory and circulatory parameters between the two positions（P>0.05）;One hour after resumed supine ventilation, the PO2 and PaO2/FiO2 were became lower but still higher than those before ventilation（P<0.01）. Conclusion Lateral ventilation is obvious effective for infant with extracorporeal circulation hypoxia. |
| Key words: Lateral position ventilation Hypoxemia Extracorporeal circulation Infant |
