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錛?錛夊懠姘旀湯姝e帇錛圥EEP錛夛細(xì)姝ゅ姛鑳藉彲瀵瑰皬姘旈亾鍙?qiáng)鑲烘场钃v鍒伴《鎵樹綔鐢紝浣垮唴鍘嬪湪鍛兼皵鏈粛淇濇寔鍦ㄩ珮浜庡ぇ姘斿帇鐨勬按騫籌紝闃叉灝忔皵閬撳強(qiáng)鑲烘場(chǎng)鐨勮悗闄鳳紝騫惰兘浣垮姛鑳芥畫姘旈噺澧炲姞錛岃偤欏哄簲鎬у鍔狅紝浠庤屾敼鍠勪簡(jiǎn)鑲虹殑寮ユ極鍔熻兘銆傚鐢ㄤ簬ARDS錛堟ユу懠鍚哥獦榪患鍚堢棁錛夋?zhèn)h呭強(qiáng)鑲轟笉寮犳?zhèn)h呫?/span>
錛?錛夋寔緇皵閬撴鍘嬶紙CPAP錛夛細(xì)鍏朵綔鐢ㄤ笌PEEP鐩鎬技錛屽彲闃叉鍜岄嗚漿灝忔皵閬撶殑闂悎鍙?qiáng)鑲烘场钀庨欨P紝浣胯兏鍐呭帇澧炲姞錛屽惛姘旂渷鍔涳紝鑷鑸掓湇銆?/span>
錛?錛夊帇鍔涙敮鎸侊紙PSV錛夛細(xì)榪欐槸涓縐嶈緟鍔╅氭皵鍘嬪姏鍔熻兘錛屽嵆鎮(zhèn)h呭厛瑙﹀彂閫氭皵錛屽浗浜у懠鍚告満鍦ㄥ懠姘旀椂緇欐?zhèn)h呬竴瀹氭按騫崇殑姝e帇鏀寔錛屼互鍑忓皯鎮(zhèn)h呭惛姘旀椂鐨勪綔鍔燂紝鏈夊埄浜庡懠鍚歌倢鍔熻兘鐨勬仮澶嶏紝鎮(zhèn)h呮槗浜庢帴鍙椼傚彲浣垮懠鍚擱鐜囧噺鎱紝鏄挙紱誨懠鍚告満鐨勪竴縐嶆墜孌點(diǎn)?/span>
錛?錛夊徆鎭姛鑳斤紙SIGH錛夛細(xì)姝ゅ姛鑳戒粎鐢ㄤ簬闀挎椂闂撮棿姝囨鍘嬮氭皵錛圛PPV錛夋椂錛屽彲浣胯偤娉″厖鍒嗘墿寮狅紝浣嗗鏄撻犳垚姘斿帇浼わ紝瀵規(guī)湁鑲哄ぇ娉$殑鎮(zhèn)h呭簲鎱庣敤銆?/span>
錛?錛夐棿姝囧己鍒墮氭皵錛圛MV錛夊拰鍚屾闂存瓏寮哄埗閫氭皵錛圫IMV錛夛細(xì)鍙互浣胯嚜涓誨懠鍚稿拰IPPV鏈夋満緇撳悎錛屼繚璇佺梾浜虹殑鏈夋晥閫氭皵閲忥紝鍛艱“鏃╂湡鐥呬漢鏄撲簬鎺ュ彈SIMV錛屾棤浜烘満瀵規(guī)姉銆傚拰CPAP鍚岀敤錛屾不鐤桝RDS銆傝繖涓ら」鍔熻兘涓鑸敤浜庤嚜涓誨懠鍚歌緝濂界殑鎮(zhèn)h咃紝澶氱敤浜庤劚鏈轟箣鍓嶃?/span>
錛?錛夊垎閽熸寚浠ゆч氭皵錛圡MV錛夛細(xì)璇ュ姛鑳戒繚璇佹瘡鍒嗛挓閫氭皵閲忥紝濡傝嚜涓婚氭皵閲忎綆浜庤瀹氭寚錛屼笉瓚抽儴鍒嗗垯鐢卞懠鍚告満鑷姩琛ョ粰錛屽鑷富閫氭皵閲忓ぇ浜庤瀹氬兼垨絳変簬璁懼畾鍊鹼紝鍒欏懠鍚告満鑷姩鍋滄姘斾綋渚涚粰銆傛渶閫傜敤浜庤嚜涓誨懠鍚鎬笉紼沖畾鐨勬?zhèn)h呫?/span>
錛?錛夊懠鍚告満浠f浛閫氭皵錛圔UV錛夛細(xì)鍥戒駭鍛煎惛鏈鴻繍杞椂錛屽鍏惰嚜媯(gè)緋葷粺鍙戠幇緋葷粺鎬ч敊璇垨鍛煎惛鏈虹數(shù)婧愮數(shù)鍘嬩綆浜庨瀹氱數(shù)鍘嬬殑90錛呭嵆浼?xì)鑷姩铦{涓築UV銆傚懠鍚告満鏇夸唬閫氭皵鏉′歡鐢卞懠鍚告満鍘傛柟棰勫厛璁懼畾錛屽湪杞負(fù)鍛煎惛鏈烘浛浠i氭皵鏃訛紝鍛煎惛鏈鴻嚜鍔ㄦ寜鎵璁懼畾鐨勬潯浠惰繘琛岄氭皵銆?/span>
錛?錛夊垎闅旇偤閫氭皵錛圖LV銆両LV錛夛細(xì)鐢ㄥ弻鑵旀彃綆″皢涓よ偤鍒嗛殧寮錛岀粰浜堜笉鍚屽艦寮忕殑閫氭皵錛岀О涓哄垎闅旇偤閫氭皵銆備富瑕佺敤浜庝竴渚ц偤鏈変弗閲嶈偤澶ф場(chǎng)鎴栬偤鑴?chuàng)鐤℃?zhèn)h咃紝鑰屽彟涓渚ц偤姝e父鐨勭梾浜猴紝涔熷鐢ㄤ簬寮鑳告墜鏈腑銆?/span>
錛?錛夊弻姘村鉤姘旈亾姝e帇閫氭皵錛圔iPAP錛夛細(xì)鍒嗗埆璋冭妭涓や釜鍘嬪姏姘村鉤鍜屾椂闂達(dá)紝涓や釜鍘嬪姏鍧囦負(fù)鍘嬪姏鎺у埗錛屾皵嫻侀熷害鍙彉銆傝繖鏄竴縐嶈緝鏂扮殑閫氭皵鏂瑰紡錛屽紑鍙戠殑鍓嶆櫙杈冨ぇ銆?/span>
錛?0錛夊畨鍏ㄦ椿鐡f墦寮錛圫VO錛夛細(xì)褰撶數(shù)婧愪腑鏂垨鍥戒駭鍛煎惛鏈哄彂鐜頒弗閲嶉敊璇椂錛屽畨鍏ㄦ椿鐡h嚜鍔ㄦ墦寮錛岀梾浜轟粛鍙懠鍚哥┖姘斻?/span>
鐩稿叧浜у搧