新生儿肺出血53例临床分析

CLINICAL ANALYSIS OF 53 CASES NEONATAL PULMONARY HEMORRHAGE

目的为了进一步早期诊断和更有效治疗新生儿肺出血。方法分析1992～2006年53例新生儿肺出血临床资料,以是否予机械通气治疗分为甲组(常规治疗组)及乙组(联合机械通气组)。结果对甲乙组原发病、临床表现及治疗进行比较、分析和研究。原发病无明显差别,临床表现体温不升甲组高于乙组,乙组发现肺出血的方式以气管内吸引为主,乙组死亡率低于甲组。结论早期诊断及预防、呼吸机的应用是提高治愈率的关键。

Objective The aim of this study is to explore the experience about the diagnosis and treatment as well as the possible improvement of the cure rate for the case of neonatal pulmonary haemorrhage. Methods 53 case of neonatal pulmonary haemorrhage encountered in the hospital in past 14 years （1992 -2006） were enrolled in this study, according to whether to get mechanical ventilation ,53 case were divided into group A （general treatment,31 case） and group B （ combined with mechanical ventilation,22 case）. Results As compared between group A and group B include primary disease, clinical symptoms and therapy. There was no difference of primary disease between the two groups, hypothermia in group A was significantly higher than in group B, the main method of finding neonatal pulmonary haemorrhage in group B was direct suction form trachea, in other word ,the mortality of group A was significantly higher than group B. Condusion It will benefit for early diagnosis and ventilator treatment of neonatal pulmonary haemorrhage.