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我院1987年1月～1990年12月收治胎粪吸入综合征(MAS)111例,合并呼吸衰竭73例,34例应用气管内冲洗术治疗(冲洗组),未冲洗的39例作为对照(对照组),结果报告如下。资料与方法一、诊断依据MAS诊断:(1)羊水被胎粪污染史,(2)呼吸困难及青紫,(3)肺部罗音,(4)x线胸片肺纹理增粗、斑片状或颗粒状阴影。呼吸衰竭的诊断依据1986年全国新生儿学术会议标准。二、基本资料:冲洗组与对照组胎龄、体重、宫内窘迫、窒息、血气、机械通气基本情况相同。
111 cases of meconium aspiration syndrome (MAS) were treated in our hospital from January 1987 to December 1990, 73 cases were complicated with respiratory failure, 34 cases were treated with endotracheal flushing (flushing group) and 39 cases without flushing as control Control group), the results are reported as follows. Materials and Methods First, diagnosis based on MAS diagnosis: (1) history of amniotic fluid was meconium contamination, (2) breathing difficulties and bruising, (3) pulmonary rales, (4) x-ray chest thickening of lungs, Shaped or granular shadow. The diagnosis of respiratory failure is based on the 1986 National Neonatal Academic Conference standard. Second, the basic information: flushing group and control group gestational age, body weight, intrauterine distress, asphyxia, blood gas, mechanical ventilation the same basic situation.