摘要
目的探讨新生儿肺出血早诊断、早治疗对提高其治愈率的影响。方法回顾性研究21例新生儿肺出血的临床资料,分析高危因素、诊断、治疗和治疗结果。结果本组21例新生儿肺出血与早产(71.4%),低出生体重(76.2%),窒息(57.1%),肺部感染(23.8%),缺氧缺血性脑病(23.8%),寒冷损伤(19.0%)密切相关,呼吸机治疗16例,痊愈10例,治愈率62.5%。结论有严重原发病的高危新生儿出现紫绀加重、呼吸心率改变、肺部湿啰音出现或增多、气管插管吸出血性痰可早期诊断肺出血。早发现,早插管,早上机,提高治愈率。
Objective To study the influence of early diagnosis and early treatment on prognosis of pulmonary hemorrhage of newborn infant. Methods The clinical data of 21 patients diagnosed as pulmonary hemorrhage were retrospectively studied, analyzed the risk factors,diagnosis,treatment and the results of treatment. Results Among the 21 cases of newborn infants,incidences of premarure infant,low birth weight, asphyxia, infection, hypoxic-ischemic encephalopathy and cold injury were 71.4%, 76.2% ,57.1% ,23.8% ,23.8%, 19.0% respectively. 16 cases were treated with conventional mechanical ventilation. 10 were fully recovered （62.5 % ）. Conclusion Early pulmonary hemorrhage should be considered when newborn infants suffered from cyanosis more serious, respiration and heart rate change, moist rale appear or more, suction bemicphlegm from intubation. Early discovery, early trachen intubation, and early conventional mechanical ventilation can improve prognosis.
出处
《中华全科医学》
2009年第11期1165-1166,共2页
Chinese Journal of General Practice
关键词
肺出血
早诊断
早治疗
Pulmonary hemorrhage
Early diagnosis
Early treatment
