摘要
目的:新生儿心力衰竭抢救不及时死亡率很高,分析原因可以指导临床尽早明确诊断及时处理,从而降低死亡率。方法:收治心力衰竭患儿68例。先天性心脏病合并肺炎心衰占主27/68(40%);单纯性心脏病20例(29%),早产儿肺透明膜病3例,重围产期窒息并发心衰5例,肺炎心衰6例,败血症3例,心内膜弹力纤维增生症2例,心肌炎2例。患儿经镇静、鼻伺喂养、限制液量、利尿、抗炎、强心、支持治疗及对症等治疗。结果痊愈23例(33.8%),好转29例(42.6%),死亡8例(11.7%),自动出院8例(11.9%)。结论:新生儿心力衰竭如不及时抢救死亡率很高,要降低死亡率需做到早期诊断及时治疗。
Aim： The critical condition of heart failure for a neonate can be caused by many reasons ,if cant be rescued immediately, the death rate will be high. Therefore, early diagnosis and quick cure can reduce the death rate. Method：make a analysis of 68 neonates among 2005 -2010 in this hospital,and it shows that complicate pneumonia congestive heart failure accounts 27/68 （40%） ,simple heart disease 20 cases, accounts 29% and neonatal respiratory distress syndrome（ NRDS）3 cases ,The siege of complicated prenatal asphyxia with heart failure 5 cases, the heart failure with pneumonia 6 cases, septicemia 3 cases, the proliferation of intrahepatic elastic fibers 2 cases,myocardium 2cases. Through the comprehensive cure,in the way of limiting liquid amount,tranquilizing,dieresis and anti- inflammatory as well as cardiac action and other supporting treating methods. As a result , 23 cases are recovered （ 33.8% ） , 29cases getting better （42.6%）, 8 cases are failed（ 11.7% ） and 8 cases leaving hospital automatically （ 11. 9% ）. Conclusion： heart failure for a neonate is critical featuring quick development and high death rate which requires early diagnosis and immediate cure, thus the death rate can be lower.
