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. |