新生儿肺出血31例诊治体会

Experience of diagnosing and treating 31 cases of neonatal pulmonary hemorrhage

目的探讨影响新生儿肺出血的病因分布,采取合理的治疗措施提高抢救成功率。方法回顾31例新生儿肺出血患儿的病史、病因分布、临床检查及治疗结果等特点,分析它们在肺出血病理生理中的影响。结果引起新生儿肺出血的主要因素:非感染因素有早产、低体温、窒息、吸入性肺炎、寒冷损伤、硬肿症等;感染因素包括败血症、肺部感染等。加强呼吸支持治疗使部分患儿抢救成功(3/9)。结论预防非感染因素如早产、低体温、窒息、吸入性肺炎、寒冷损伤等,感染因素败血症、肺部感染等,可预防新生儿肺出血的发生。新生儿肺出血发生后应积极给予呼吸支持,降低病死率。

Objective To explore the possible etiological factors in 31 cases of neonatal pulmonary hemorrhage in order to improve emergency treatment. Methods 31 cases of neonates with pulmonary hemorrhage were studies retrospectively by exploring the case history, possible etiological factors, clinical examination and outcome of therapy. Results The highest risk factors in neonatal pulmonary hemorrhage were attributed to non-infective factors such as premature birth, low body temperature, apnoea, aspirated pneumonia, cold injury, scleredema or infective factors as septemia and pulmonary infection. Respiration support survived 3 out of 9 cases in neonatal pulmonary hemorrhage. Conclusion It is essential to depress mortality by preventing the highest risk factors and supporting the respiration in neonatal pulmonary hemorrhage cases .