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目的探讨新生儿肺出血早诊断、早治疗对提高其治愈率的影响。方法回顾性研究21例新生儿肺出血的临床资料,分析高危因素、诊断、治疗和治疗结果。结果本组21例新生儿肺出血与早产(71.4%),低出生体重(76.2%),窒息(57.1%),肺部感染(23.8%),缺氧缺血性脑病(23.8%),寒冷损伤(19.0%)密切相关,呼吸机治疗16例,痊愈10例,治愈率62.5%。结论有严重原发病的高危新生儿出现紫绀加重、呼吸心率改变、肺部湿啰音出现或增多、气管插管吸出血性痰可早期诊断肺出血。早发现,早插管,早上机,提高治愈率。
Objective To investigate the effect of early diagnosis and early treatment of neonatal pulmonary hemorrhage on improving the cure rate. Methods The clinical data of 21 cases of neonatal pulmonary hemorrhage were retrospectively analyzed, and the risk factors, diagnosis, treatment and treatment results were analyzed. Results 21 cases of neonatal pulmonary hemorrhage and premature birth (71.4%), low birth weight (76.2%), asphyxia (57.1%), pulmonary infection (23.8%), hypoxic ischemic encephalopathy (23.8% Injury (19.0%) is closely related to ventilator treatment in 16 cases, 10 cases were cured, the cure rate was 62.5%. Conclusions Serum cyanosis is exacerbated in high-risk neonates with severe primary disease, respiratory rate changes, and pulmonary wet rales appear or increase. Pulmonary intubation and bloody sputum can be used to diagnose early pulmonary hemorrhage. Early detection, early intubation, morning machine, improve the cure rate.