肾上腺素联合立止血治疗新生儿肺出血的临床观察

Investigation of adrenalin and reptilase in treating neonatal pulmonary hemorrhage

目的 探讨肾上腺素联合立止血气管内注入治疗肺出血的疗效。方法 对 43例新生儿肺出血用肾上腺素联合立止血治疗 ,并观察其转归 ,并和常规治疗的 41例进行比较分析 ,判断疗效。结果 肾上腺素联合立止血治疗的患儿死亡率 3 4.9% ,肺出血停止时间 6.2± 0 .7小时 ,撤机时间 70 .2± 6.8小时 ,最后存活率 5 8.1% ,与对照组比较死亡率低 ,肺出血停止时间急撤机时间短 ,最后存活率高 ,比较有显著性差异 (P <0 .0 5 )。结论 肾上腺素联合立止血气管内注入可降低肺出血患儿的死亡率 ,改善肺出血患儿的转归。

Objective To discuss the curative effect of endotracheal administration of adrenalin and reptilase in treating neonatal pulmonary hemorrhage.Methods 84 cases of neonatal pulmonary hemorrhage were devided into 2 groups,43 cases were treated by the way of endotracheal administration of adrenalin and reptilase,4lcases were treated with usually way.Clinical indicators were statistical analysed.Results The group treated with adrenalin and reptilase had a lower mortality rate ,It was significantly different between the two groups.Conclusions Endotracheal administration of adrenalin and reptilase was effective in treating neonatal pulmonary hemorrhage.It can obviously improve the prognosis,decrease the mortality rate.