T组合使用概要.pptVIP

下载本文档

406
0
约1.6万字
约 48页
2017-03-06 发布于湖北
举报
版权申诉

T组合使用概要.ppt

1、有哪些信誉好的足球投注网站（book118）网站文档一经付费（服务费），不意味着购买了该文档的版权，仅供个人/单位学习、研究之用，不得用于商业用途，未经授权，严禁复制、发行、汇编、翻译或者网络传播等，侵权必究。。
2、本站所有内容均由合作方或网友上传，本站不对文档的完整性、权威性及其观点立场正确性做任何保证或承诺！文档内容仅供研究参考，付费前请自行鉴别。如您付费，意味着您自己接受本站规则且自行承担风险，本站不退款、不进行额外附加服务；查看《如何避免下载的几个坑》。如果您已付费下载过本站文档，您可以点击这里二次下载。
3、如文档侵犯商业秘密、侵犯著作权、侵犯人身权等，请点击“版权申诉”（推荐），也可以打举报电话：400-050-0827(电话支持时间：9:00-18:30)。
4、该文档为VIP文档，如果想要下载，成为VIP会员后，下载免费。
5、成为VIP后，下载本文档将扣除1次下载权益。下载后，不支持退款、换文档。如有疑问请联系我们。
6、成为VIP后，您将拥有八大权益，权益包括：VIP文档下载权益、阅读免打扰、文档格式转换、高级专利检索、专属身份标志、高级客服、多端互通、版权登记。
7、VIP文档为合作方或网友上传，每下载1次，网站将根据用户上传文档的质量评分、类型等，对文档贡献者给予高额补贴、流量扶持。如果你也想贡献VIP文档。上传文档

T组合使用概要

Bubble CPAP 哥伦比亚 CPAP(Bubble CPAP) Bubble CPAP的作用 Bubble CPAP 显著地减少了低出生体重婴儿发生慢性肺疾病的事故。 Bubble CPAP通过改善气体交换，可以降低潮气量和呼吸频率，降低呼吸功，减少呼吸疲劳和对气管插管的需要。 Ref: Mary Ellen Avery, MD, William Tooley, MD, et.al. (Jan 1987). Is Chronic Lung Disease in Low Birth Weight Infants Preventable? A Survey of Eight Centers. Pediatrics 79(1): 26-30 Kyong-Soon Lee, Michael Dunn, et. al. (1998) A comparison of Underwater Bubble Continuous Positive Airway Pressure with Ventilator-Derived Continuous Positive Airway Pressure in Premature Neonates Ready for Extubation. Biol Neonate 73: 69-75 Bubble CPAP的作用 Bubble CPAP的作用 Early bubble CPAP reduced delivery room intubations, days on mechanical ventilation, postnatal steroid use and was associated with increased postnatal weight gain with no increased complications. Ref: Narendran V, Donovan EF, Hoath SB,, et. al. Early bubble CPAP and outcomes in ELBW preterm infants. J Perinatol. 2003 Apr-May;23(3):195-9. Bubble CPAP的作用 CONCLUSIONS: Compared to constant pressure technique, bubble continuous positive airway pressure promotes enhanced airway patency during treatment of acute postnatal respiratory disease in preterm lambs and may offer protection against lung injury. Ref: Pillow JJ, Hillman N,Moss TJ, et. al. Am J Respir Crit Care Med. 2007 Apr 12 Bubble CPAP的作用 CONCLUSIONS: Bubble CPAP is as effective as IFD CPAP in the post-extubation management of infants with RDS; however, in infants ventilated for or = 14 days, bubble CPAP is associated with a significantly higher rate of successful extubation. Bubble CPAP also is associated with a significantly reduced duration of CPAP support. Ref: Gupta S, Sinha SK, Tin W, Donn SM. J Pediatr. 2009 May;154(5):633-4. 压力波形 (体内) 振荡压力波形的确从气道传递到肺，而且低顺应性的压力波形所含有的高频成分和能量可能对婴儿的气体氧合有所帮助。 Ref: Travadi JN and Pillow JJ. Effect of Compliance and Flow on Pressure Waveform in the Lung During Bubble CPAP. King Edward Memorial and Princess Margaret Hosps, a