ID 原文 译文
7751 在对症治疗的基础上,积极防治并发症,治疗基础疾病,预防继发感染,及时进行器官功能支持。 In addition to symptom treatments, it is important to actively prevent complications, treat underlying diseases, prevent secondary infections, and provide organ function support.
7752 呼吸支持 Respiratory support:
7753 氧疗:重型患者应当接受鼻导管或面罩吸氧,并及时 评估呼吸窘迫和/或低氧血症是否缓解。 Oxygen therapy: Severe patients should receive nasal cannula or mask to inhale oxygen, and evaluate m time whether respiratory distress and/or hypoxemia is relieved.
7754 高流量鼻导管氧疗或无创机械通气:当患者接受标准 氧疗后呼吸窘迫和/或低氧血症无法缓解时,可考虑使用高流量 鼻导管氧疗或无创通气。 High-flow nasal cannula oxygen therapy or non-mvas1ve mechanical ventilation: When patients with respiratory distress and / or hypoxemia cannot be relieved after receiving standard oxygen therapy, high-flow nasal cannula oxygen therapy or non-invasive ventilation can be considered.
7755 若短时间(1-2小时)内病情无改善甚 至恶化,应当及时进行气管插管和有创机械通气。 If the condition does not improve or worsens within a short time (1-2 hours), tracheal intubation and invasive mechanical ventilation should be performed in time.
7756 有创机械通气:釆用肺保护性通气策略,即小潮气量 (6-8mL/kg理想体重)和低水平气道平台压力(≤30cmH20)进行机械通气,以减少呼吸机相关肺损伤。 Invasive mechanical ventilation: Using lung protective ventilation strategy, that is, small tidal volume (6-8 mL/kg ideal body weight) and low level of airway plateau pressure (≤30cmH20) for mechanical ventilation to reduce ventilator-related lung injury.
7757 在保证气道平台压≤35cmH2O时,可适当釆用高PEEP, When the airway plateau pressure is ≤35cmH2O, high PEEP can be appropriately used.
7758 保持气道温化湿化,避免长时间镇静,早期唤醒患者并进行肺康复治疗。 Keep the airway warm and humid, avoid prolonged sedation, and awaken patients early and perform pulmonary rehabilitation treatment.
7759 较多患者存在人机不同步,应当及时使用镇静以及肌松剂。 For those patients with problem of man-machine synchronization, sedation and muscle relaxants should be used in time.
7760 根据气道分泌物情况, 选择密闭式吸痰,必要时行支气管镜检查釆取相应治疗。 According to the airway secretions, closed sputum suction should be considered, and bronchoscopy should be performed if necessary.