新生儿呼吸衰竭101例的临床分析

Clinical analysis concerning samples of 101 neonates with respiratory failure

目的总结新生儿呼吸衰竭的年龄分布、原发病、治疗方法及预后。方法对101例2005年4月至2006年3月在重庆医科大学附属儿童医院新生儿科住院的新生儿呼吸衰竭患儿进行临床分析。结果早期新生儿占91.09%,晚期新生儿占8.91%。早期新生儿原发病中新生儿呼吸窘迫综合征(NRDS)占40.22%,肺炎占36.9%。病死率11.8%,家属放弃治疗30.69%,好转或治愈出院57.43%。结论新生儿呼吸衰竭主要发生在早期新生儿,其原发病以NRDS及肺炎为主,呼吸机辅助通气为其主要抢救措施。

Objective To summarize the age distribution,original illnesses,treatment and the prognosis of the newborn respiratory failure. Methods Clinical analysis had been performed to 101 newborns with respiratory failure hospitalized in neonatal intensive care unit（NICU） of Children＇s Hospital Affiliated to Chongqing University of Medical Science from April 2005 to March 2006. Results The early period newborn accounts for 91.09 %, the late period newborn accounts for 8.91%. In original illnesses of early period newborns, neonatal respiratory distress syndrome（NRDS） accounts for 40.22 %, pneumonia for 36.9%. Of the cases,the fatality rate was 11.8%, 30.69 % of the family member give up treating, the change for the better or cured was 57.43 %of all concluded. Conclusion The newborn respiratory failure mainly occurs in the early period newborn, and its original illness is primarily NRDS and pneumonia,meanwhile mechanical ventilation as its main first-aid measure.