ID |
原文 |
译文 |
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. |
7761 |
挽救治疗:对于严重ARDS患者,建议进行肺复张。 |
Salvage treatment: For patients with severe ARDS, it is recommended to perform lung expansion. |
7762 |
每天应当进行12小时以上的俯卧位通气。 |
Prone ventilation should be performed for more than 12 hours per day. |
7763 |
俯卧位机械通气效果不佳者,如条件允许,应当尽快考虑体外膜肺氧合(ECMO)。 |
When prone position mechanical ventilation is not effective, if conditions permit, extracorporeal membrane pulmonary oxygenation (ECMO) should be considered as soon as possible. |
7764 |
相关指征 |
Related indications |
7765 |
在Fi02>90%时,氧合指数小于80mmHg,持续3-4小时以上; |
When FiO2> 90%, the oxygenation index is less than 80mmHg, which lasts more than 3-4 hours; |
7766 |
气道平台压≥35cmH20o单纯呼吸衰竭患者,首选VV-ECMO模式; |
Patients with simple respiratory failure with airway plateau pressure≥35 cm H2O, the VV-ECMO mode is preferred; |