近足月儿及足月儿72小时内呼吸困难的临床分析

The Clinical Analysis Ofdyspnea About Late Preterm Infants and Full-term Infants Within 72h

目的探讨近足月儿及足月儿呼吸困难的病因、临床特点及转归 □ 方 技对本院新生儿重症监护室 2 0 1 6年 1 月 1 日-2016年 12 月 31 日期间收治的 3 6 1例足月及近足月呼吸困难患儿的临床资料进行回顾性分析,着重分析其病因及特 点.结果 研究期间我科共收治 3 6 1例呼吸困难的患儿,新生儿肺炎为其主要原因,其次为新生儿呼吸窘迫综合征,先天性心 脏病,气胸,新生儿窒息、胎粪吸入综合征也是常见的原因,另外气道畸形、重度贫血、弥散性血管内凝血等也能引起新生儿 呼吸困难,在诊断中不容忽视.经过治疗后, 2 6 7例 （ 74. 0% ）治愈, 3 8例 （ 10. 5% ）好转出院, 4 9例 （ 13. 6% ）因病情危重或其 他原因家长放弃治疗, 7 例 （ 1. 9%）死亡.结论引起新生儿呼吸困难的原因很多,只有及时明确诊断病因,积极治疗原发病, 才能有效的改善呼吸困难.

Objective To explore the etiology, clinical features and prognosis of dyspnea about late preterm infants and full-term infants. Methods The clinical data of 361 full-term infants and late preterm infants which in our hospital Neonatal in-tensive care unit from January 1st, 2016 to December 31 with dyspnea,the mathematical analysis will focus on analyzing the causes and characteristics. Results During the study period 361 patients were treated in our department breathing difficulties in children, the main reason for neonatal pneumonia, followed by Neonatal respiratory distress syndrome, congenital heart dis-ease, pneumothorax, neonatal asphyxia, meconium aspiration syndrome is the common reason in airway malformation and se-vere anemia, disseminated intravascular coagulation can cause neonatal respiratory difficulties in the diagnosis can not be ig-nored. After treatment, 267patients （74. 0%） were cured,38cases （10. 5%） were discharged improved, 49 cases （13. 6%） died because of severe illness or other reasons, and 7 cases （1. 9%） died. Conclusion Neonatal dyspnea caused by many rea-sons,and only cause of timely diagnosis, aggressive treatment of primary disease can effectively improve breathing difficul-ties.