机械通气治疗新生儿呼吸窘迫综合征75例

75 neonates with respiratory distress syndrome treated by mechanical ventilation

目的:探讨机械通气治疗新生儿呼吸窘迫综合征(NRDS)的有效性及临床价值。方法:对75例NRDS患儿进行机械通气治疗。结果:75例NRDS患儿中治愈50例(66.7%),死亡18例(24.0%),放弃治疗7例。较用头罩吸氧治疗NRDS有显著性差异。2000～2003年NRDS治愈率(77.8%)较1996～1999年NRDS治愈率(50.0%)明显升高;2000～2003年机械通气并发症较前4年亦明显降低。结论:以机械通气为主的综合治疗是提高NRDS抢救成功率的重要措施。

Objective:To explore the validity and clinical value of mechanical ventilation in treatment of neonatal respiratory distress syndrome (NRDS).Methods:75 neonates with NRDS were treated by mechanical ventilation.Results:Of 75 neonates with NRDS, 50 cases were cured (66.7%),18 cases were died (24.0%),7 cases gave up treatment.There was significant difference between oxygen inhalation with helmet and mechanical ventilation used in NRDS. The curative rate of NRDS (77.8%) from 2000 to 2003 was significantly higher than that (50.0%) from 1996 to 1999.The complications resulted from mechanical ventilation in 2000~2003 were significantly lower than that in lasted 4 years.Conclusion:The comprehensive ereatment which mechanical ventilation is as the main coneant should be an important measurement for enhancing rescue success rate of NRDS.