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;