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膈肌与肺部超声在新生儿有创机械通气撤机结局预测中的应用价值
Application value of diaphragm and lung ultrasound in predicting the outcome of weaning from invasive mechanical ventilation in neonates

广西医学 页码:945-949

作者机构:田艳,在读硕士研究生,研究方向为新生儿呼吸支持。

基金信息:国家重点研发计划资助(2022YFC2704803);重庆市技术创新与应用发展专项重点项目(CSTC2021jscx⁃gksb⁃N0015)

DOI:10.11675/j.issn.0253⁃4304.2025.07.05

  • 中文简介
  • 英文简介
  • 参考文献

有创机械通气是一种可以迅速改善肺通气状态、保证有效氧合的通气方式,被广泛应用于危重新生儿的救治,然而长时间的通气或撤机过早都会导致一系列不良反应,从而增加对患儿的伤害。但目前临床上的撤机失败率较高,因此,选择适宜的撤机时机,以及寻求一个可靠的工具来预测撤机结局,对于改善有创机械通气新生儿的预后至关重要。已有研究表明膈肌超声及肺部超声在有创机械通气新生儿撤机结局的预测中具有一定的应用价值,但相关研究少,且部分预测工具的预测效能争议较大。本文对国内外有关膈肌超声和肺部超声检查在新生儿有创机械通气撤机结局预测中的应用研究进行综述,旨在为临床撤机提供理论依据。

Invasive mechanical ventilation is a ventilation method that can rapidly ameliorate pulmonary ventilation status and ensure effective oxygenation, widely used in the treatment of critically ill neonates. However, prolonged ventilation or premature ventilation weaning can lead to a series of adverse reactions, thereby increasing harm to the infants. Currently, the failure rate of clinical weaning remains high. Therefore, selecting the appropriate timing for weaning and seeking a reliable tool to predict weaning outcomes are crucial for ameliorating the prognosis of neonates undergoing invasive mechanical ventilation. Previous studies have expressed that diaphragm ultrasound and lung ultrasound have application value in predicting weaning outcomes in neonates receiving invasive mechanical ventilation to a certain extent, but related research is limited, and the predictive efficiency of some predictive tools remains controversial. This paper reviews domestic and international research on the application of diaphragm ultrasound and lung ultrasound in predicting weaning outcomes for neonates undergoing invasive mechanical ventilation, aiming at providing a theoretical basis for clinical weaning.

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