新生儿肺出血的临床诊治分析

Analysis of the clinical diagnosis and treatment of neonatal pulmonary hemorrhage

目的探讨新生儿发生肺出血的临床特征和诊治措施。方法回顾性分析2016年2月~2018年1月新生儿科收治的109例发生肺出血的新生儿临床资料。结果发生肺出血的109例新生儿中,97例存活,7例死亡,5例中途自动离院。结论降低早产儿比例、减少缺氧及窒息的发生率,可预防发生肺出血。若新生儿在原有疾病基础上进一步出现呼吸变化、发绀以及反应差应考虑发生肺出血。胸部X线动态监测可提高新生儿肺出血早期诊断率。机械通气的及时使用可降低新生儿肺出血的死亡率。

Objective Clinical features and diagnosis and treatment of neonatal pulmonary hemorrhage.Methods From February 2016 to January 2018,Retrospective analysis of the clinical data of 109 cases neonates with pulmonary hemorrhage in the newborn pediatrics of our hospital.Results 97 cases of them survived,7 cases were dead,and 5 cases were automatically separated from the hospital.Conclusion Reducing the proportion of preterm infants,reducing the incidence of anoxia and asphyxia can prevent the occurrence of pulmonary hemorrhage.If the newborn further changes of respiration,underlying disease and poor response should be considered cyanosis due to pulmonary hemorrhage.Dynamic chest X-ray monitoring can improve the early diagnosis rate of neonatal pulmonary hemorrhage.The timely use of mechanical ventilation can reduce the mortality of neonatal pulmonary hemorrhage.