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本文总结新生儿肺炎发生多器官功能衰竭共184例,死亡135例(73.37%);存活49例(26.63%)。单个器官衰竭以呼吸衰竭最高,占95.61%,其次为心力衰竭,占64.13%。43例死亡病例血气分析,以呼吸性酸中毒最多,占44.19%,其次为混合性酸中毒20.93%。35例呼吸衰竭以Ⅱ型居多,占80%。MOF病死率示异常分娩组>正常分娩组;吸入性肺炎组>感染性肺炎组;早产儿组>足月儿组;发病日龄≤7天组>7天以上组。经统计学处理,各组均有显著差异。
This article summarizes 184 cases of neonatal pneumonia with multiple organ failure, 135 patients died (73.37%); survival in 49 cases (26.63%). A single organ failure to respiratory failure highest, accounting for 95.61%, followed by heart failure, accounting for 64.13%. 43 cases of death blood gas analysis to respiratory acidosis, accounting for 44.19%, followed by mixed acidosis 20.93%. 35 cases of respiratory failure to type Ⅱ, accounting for 80%. MOF mortality showed abnormal delivery group> normal delivery group; aspiration pneumonia group> infectious pneumonia group; premature infant group> full-term child group; onset day <7 days group> 7 days or more. After statistical analysis, each group has significant differences.