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1984年来我们在以鼻塞持续正压通气(CPAP)为主治疗新生儿呼吸衰竭实践中,发现其对新生儿肺炎氧疗疗效确切,方法简便,存活率高。本组22例存活18例,存活率达81.8%,现介绍如下。临床资料一般资料22例新生儿肺炎包括胎粪性4例,吸入性14例及感染性4例,全部合并呼吸衰竭。按血气分析分型:Ⅰ型13例,Ⅱ型9例(其中PCO_2>70mmHg仅3例)。男婴12例,女婴10例;体重1000～3700g,<1500g4例,～2500g6例,～3700g12例;孕周33～43周,<37周8例,～42周13例,>42周1例。生后窒息7例(阿氏评分1分钟<3分者5例,4～7
In 1984, we treated nasal continuous positive airway pressure (CPAP) mainly in the treatment of neonatal respiratory failure, and found that it is effective in neonatal pneumonia oxygen therapy, the method is simple and the survival rate is high. The group of 22 patients survived in 18 cases, the survival rate of 81.8%, are described below. Clinical data General information 22 cases of neonatal pneumonia, including meconium in 4 cases, 14 cases of inhalation and infectivity in 4 cases, all with respiratory failure. According to the blood gas analysis and classification: type I in 13 cases, type II in 9 cases (including PCO_2> 70mmHg only 3 cases). 12 cases of baby boy, 10 cases of baby girl; weight of 1000 ~ 3700g, <1500g4 cases, ~ 2500g6 cases, ~ 3700g12 cases; gestational age 33 ~ 43 weeks, <37 weeks in 8 cases, ~ 42 weeks in 13 cases,> 42 weeks 1 example. Postpartum asphyxia in 7 cases (Ash score 1 minute <3 points in 5 cases, 4 ~ 7