新生儿肺出血的预兆初探(附84例临床病理分析)

PRELIMINARY EVALUATION OF NEONATAL PULMONARY HEMORRHAGIC AURAE

本文通过84例新生儿肺出血病理结果1探索临床上新生儿肺出血之预兆，初步发现在有肺出血高危因素的患儿，见有双吸气或抽泣样呼吸、肺罗音、面色苍白、呼吸暂停均为肺出血之凶险预兆，其出现至死亡时间平均为4小时。发绀、心衰、则为肺出血警告预兆。并认为目前临床上仍以防重于治，应在治中求防，及早识别预兆，重点矫治缺氧。并提出新生儿肺出血病理类型及严重程度，除与存活时间有关外，与病因、孕周，使用呼吸机情况有极密切关系。

This article presents the results of a pathology study on 84 cases of neonatal pulmonary hemorrhage. It was discovered that inspiratory dyspnea, moist rales of lungs, face pallor.and apnea were all risky aursigns of neonatal pulmonary hemorrhage. The average time from the above appearance of symptoms'to neonatal death was 4 hours, but cyanosis and heart failure appeared even earlier as a warning sign of neonatal pulmonary hemorrhage. It is considered clinically that prevention is better than tseatment at present. It was also proposed that the pathology type and severity of neonatal pulmonary hemorrhage have close relation ship not only with survival time, but also with etiology and gestation age