晚期早产儿合并多种并发症1例报道

A case report of late preterm infant complicated with multiple complications

新生儿呼吸窘迫综合征(RDS)是新生儿科常见的急危重症,早产儿发病率为5%~10%,胎龄越小发病率越高,择期剖宫产率为0.9%~3.7%。本文报道1例晚期早产儿合并RDS、气胸、持续性肺动脉高压、肺出血的抢救经过。通过回顾该患儿的病程,分析并发症发生机制及相互之间的关联,并通过复习相关文献及指南为临床针对性抢救提供理论依据。临床医师对有呼吸系统症状的剖宫产晚期早产儿应提高警惕,早期识别新生儿危重症,提高救治成功率。

Neonatal respiratory distress syndrome(RDS)is a common acute and critical disease in neonatology department,the incidence of premature infants is 5%-10%.The younger the gestational age,the higher the incidence,and the rate of elective cesarean section is 0.9%-3.7%.This paper reported the rescue process of a late premature infant complicated with RDS,pneumothorax,persistent pulmonary hypertension,and pulmonary hemorrhage.By reviewing the course of the disease of the child,the mechanism of complications and the relationship between them were analyzed,and the relevant literature and guidelines were reviewed to provide a theoretical basis for clinical targeted rescue.Clinicians should be vigilant to late preterm infants with respiratory symptoms in cesarean section,identify neonatal critical illness early,and improve the success rate of treatment.