中国当代儿科杂志2024，Vol.26Issue(5)：481-485,5.DOI:10.7499/j.issn.1008-8830.2311035
不同原发病导致长期机械通气患儿的临床特征分析
Clinical characteristics of children on prolonged mechanical ventilation due to different primary diseases
朱珺珍 1李峥 2崔利丹 1梅世月 3李小磊 1房冰 1钱素云 2成怡冰4
作者信息
- 1. 郑州大学附属儿童医院重症医学科,河南郑州 450018
- 2. 首都医科大学附属北京儿童医院重症医学科,北京 100045
- 3. 河南省儿童感染与危重症诊治工程研究中心,河南郑州 450000||河南省儿童遗传代谢性疾病重点实验室,河南郑州 450000
- 4. 郑州大学附属儿童医院重症医学科,河南郑州 450018||河南省儿童感染与危重症诊治工程研究中心,河南郑州 450000
- 折叠
摘要
Abstract
Objective To investigate the differences in clinical characteristics among children on prolonged mechanical ventilation(PMV)due to different primary diseases.Methods A retrospective analysis was performed on the clinical data of 59 pediatric patients requiring PMV from July 2017 to September 2022.According to the primary disease,they were divided into respiratory disease(RD)group,central nervous system(CNS)group,neuromuscular disease(NMD)group,and other disease group.The four groups were compared in terms of general information,treatment,and outcome.Results There were significant differences among the four groups in age,body weight,Pediatric Logistic Organ Dysfunction-2(PELOD-2)score,Pediatric Risk of Mortality Ⅲ(PRISM Ⅲ)score,analgesic and sedative treatment,nutrition supply,rehabilitation treatment,tracheotomy,successful ventilator weaning,and outcomes(P＜0.05).Compared with the RD group,the CNS group and the other disease group had a significantly higher age and a significantly higher proportion of children receiving rehabilitation treatment,and the CNS group had a significantly higher proportion of children receiving tracheotomy(P＜0.008).Compared with the other disease group,the CNS group and the NMD group had significantly lower PELOD-2 and PRISM Ⅲ scores,and the CNS group had a significantly higher proportion of children with successful ventilator weaning and a significantly higher proportion of children who were improved and discharged(P＜0.008).Conclusions There are differences in clinical characteristics among children receiving PMV due to different etiologies.Most children in the RD group have a younger age,and children in the CNS group have a relatively good prognosis.关键词
长期机械通气/病因/危重症/儿童Key words
Prolonged mechanical ventilation/Etiology/Critical illness/Child引用本文复制引用
朱珺珍,李峥,崔利丹,梅世月,李小磊,房冰,钱素云,成怡冰..不同原发病导致长期机械通气患儿的临床特征分析[J].中国当代儿科杂志,2024,26(5):481-485,5.
