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(1)璋冭妭鍚稿叆姘斾綋涓殑姘ф皵嫻撳害:綰哀涓庡帇緙╂皵浣撴販鍚堝湪絀烘皵姘ф皵娣峰悎鍣ㄤ腑錛岃瑁呯疆璋冭妭鐨勬哀姘旀祿搴︾ǔ瀹氾紝澶氱敤浜庨棿闅斻�傝繛鎺ラ┍鍔ㄥ懠鍚告満錛涚洿鎺ラ┍鍔ㄥ懠鍚告満璁懼鍚稿叆鍛ㄥ洿姘斾綋浠ョ函姘у皠嫻侀�熷害闄嶄綆姘ф皵嫻撳害錛屼絾璋冩暣鍚庣殑O2鐢變簬嫻撳害涓嶆槸鎭掑畾鐨勶紝鍥犳闇�瑕佺洿鎺ユ嫻嬫哀姘旀祿搴︼紝浠ラ槻姝㈡哀涓瘨銆?/span>
(2)瀵瑰惛鍏ユ皵浣撹繘琛屽姞婀垮姞鐑細(xì)澶у鏁板懠鍚告満鍔犳箍鍣ㄩ兘鏄敤鏉ュ姞鐑按浜х敓钂告苯錛屾販鍏ュ惛鍏ユ皵浣撲腑錛屼篃璧峰埌鍔犵儹浣滅敤浣跨敤銆傞�氬父娓╁害璋冭妭鍒?2~35鈩冦�備絾鏄湁浜涘懠鍚告満娌℃湁鍔犵儹鍔熻兘銆?/span>
(3)浣滅敤
3.1鍛兼皵鏈鍘?PEEP):璇ュ姛鑳借繕鏀寔灝忔皵閬撳拰鑲烘場(chǎng)錛屼嬌鍛兼皵鏈唴鍘嬩繚鎸佽繃澶ф皵鍘嬶紝閬垮厤灝忔皵閬撳拰鑲烘場(chǎng)鍧嶅錛屾敼鍠勫姛鑳芥�ф畫姘旈噺鍜岃偤閫傚簲鎬э紝浠庤�屾彁楂樿偤鐨勬墿鏁ｅ姛鑳姐�傜敤浜嶢RDS(鎬ユ�у懠鍚哥獦榪患鍚堝緛)鎮(zhèn)ｈ�呭拰鑲轟笉寮犳?zhèn)ｈ�呫�?/span>
3.2鎸佺畫姘旈亾姝ｅ帇閫氭皵閫氭皵銆?CPAP):瀹冪殑浣滅敤綾諱技浜嶱EEP錛屽彲浠ュ弽杞皬姘旈亾鍏抽棴鍜岃偤娉¤悗緙╋紝鎻愰珮鑳稿唴鍘嬪姏錛岀渷鍔涳紝璁╀漢鍚告皵鏃舵劅瑙夎垝鏈嶃�?/span>
3.3閫傜敤浜庡帇鍔?PSV):榪欑浣滅敤鏄緟鍔╅�氭皵鍘嬪姏錛屽嵆鎮(zhèn)ｈ�呭厛寮�鍚�氭皵錛屽噺灝戞?zhèn)ｈ�呭惛姘旀椂鎵�鍋氱殑鍔熻兘錛屾湁鍒╀簬鍛煎惛鑲屽姛鑳藉彲浠ヤ慨琛ワ紝鎮(zhèn)ｈ�呭鏄撹鍙�傝兘鍑忚交鍛煎惛棰戠巼錛屾槸涓�縐嶇枏鏁ｇ殑鍛煎惛鏈恒�?/span>
3.4鍙規(guī)皵鏁堟灉錛氳鍔熻兘闄愪簬闀挎湡闂存瓏姝ｅ帇閫氭皵銆?IPPV)錛屽彲浠ュ厖鍒嗘墿澶ц偤娉★紝浣嗘槸瀹規(guī)槗閫犳垚姘斿帇鎹熶激錛岃偤澶х柋鎮(zhèn)ｈ�呰皚鎱庝嬌鐢ㄣ�?/span>
3.5闂存瓏寮哄埗閫氶(IMV)鍚屾闂存瓏寮哄埗閫氶(SIMV):鍙互灝嗚嚜涓誨懠鍚鎬笌IPPV鏈夋満緇撳悎錛屼繚璇佹?zhèn)ｈ�呯殑閫氭皵銆傛棭鏈熷績(jī)鍔涜“绔湪姝ゆ湡闂達(dá)紝鎮(zhèn)ｈ�呭緢瀹規(guī)槗璁ゅ彲SIMV錛屾棤浜烘満鍙互鎶墊姉瀹冦�傛�ユ�у懠鍚哥獦榪患鍚堝緛涓嶤PAP涓�璧蜂嬌鐢ㄣ�傝繖涓ょ鍔熻兘閫氬父鐢ㄤ簬鐙珛鍛煎惛鑹ソ鐨勬?zhèn)ｈ�咃紝澶氬湪閫�鍑哄墠浣跨敤錛屽己鍒墮�氶鍑犲垎閽?/span>
3.6(MMV):璇ュ姛鑳戒繚璇佹瘡鍒嗛挓鐨勯�氶閲忋�傚鏋滅嫭绔嬮�氶閲忓皬浜庨璁懼�鹼紝鍛煎惛鏈轟細(xì)鑷姩琛ュ厖涓嶈凍閮ㄥ垎銆傚鏋滆嚜鍔ㄩ�氶閲忓ぇ浜庢垨絳変簬棰勮鍊鹼紝鍛煎惛鏈哄氨浼?xì)鑷姩鍋滄鍛煎惛銆傛?zhèn)ｈ�呰嚜涓誨懠鍚鎬笉紼沖畾銆?/span>
3.7鍛煎惛鏈哄彇浠ｉ�氶(BUV):濡傛灉鑷煡緋葷粺鍦ㄥ懠鍚告満榪愯榪囩▼涓彂鐜扮郴緇熼敊璇垨鍛煎惛鏈虹數(shù)婧愮數(shù)嫻佸皬浜庨瀹氱數(shù)嫻侊紝90%浼?xì)鑷姩铦{鎹㈡垚BUV銆傚懠鍚告満鏇存崲閫氶鏍囧噯鐢卞懠鍚告満鍒墮�犲晢棰勮銆傚綋鍛煎惛鏈烘洿鎹負(fù)鍛煎惛鏈烘洿鎹㈤�氶鏃訛紝鍛煎惛鏈轟細(xì)鏍規(guī)嵁鏍囧噯鑷姩閫氶璁劇疆鍒嗙鑲洪�氭皵銆?/span>
3.8(ILVDLV):鐢ㄥ弻鑵旂疆綆″皢鑲洪儴鍒嗙錛岀粰浜堜笉鍚屽艦寮忕殑閫氭皵錛岀О涓鴻偤閮ㄥ垎紱婚�氭皵銆備富瑕佺敤浜庝竴渚ц偤閮ㄣ�傚浜庤偤澶х柋鎴栬偤鑴?chuàng)鑲挎?zhèn)ｈ�咃紝鍙︿竴渚ц偤姝ｅ父鎮(zhèn)ｈ�呭鐢ㄤ簬寮�鑳告墜鏈紝鍙屾按鍑嗘皵閬撴鍘嬮�氶銆?/span>
3.9(BiPAP):鍚勮嚜璋冩暣2縐嶅帇鍔涜兘鍔涘拰鏃墮棿銆備袱縐嶅帇鍔涘潎鐢卞帇鍔涙帶鍒訛紝姘旀棆閫熷害鍙彉鐨勩�傚畠鏄竴縐嶈緝鏂扮殑閫氶鏂瑰紡錛屽叿鏈夊緢澶х殑鍙戝睍鍓嶆櫙銆?/span>
3.10鎵撳紑(SVO):鍦ㄧ數(shù)婧愪腑鏂垨鍛煎惛鏈哄彂鐜頒弗閲嶉敊璇椂錛岃嚜鍔ㄦ墦寮�錛屾?zhèn)ｈ�呬粛鍙懠鍚哥┖姘斻�?/span>
鐩稿叧浜у搧