论文部分内容阅读
本文报道经临床表现与血气分析确诊的新生儿呼吸衰竭(呼衰)60例,其中Ⅰ型呼衰27例(45％),Ⅱ型呼衰33例(55％)。引起呼衰的原发病中呼吸系统疾病占90％,其中新生儿重度窒息占首位。60例中死亡26例,病死率43.3％。死亡病例中血气分析pH值均小于7.25,以混合性酸中毒为多,占50％。介绍了氧疗效果。头罩供氧主要用于Ⅰ型呼衰,对轻症Ⅱ型呼衰也有一定作用;机械通气的应用指征。指出应加强产儿科合作,建立健全的围产保健网,强加高危的管理,是治疗呼衰成功的前提;改善通气,纠正代谢性酸中毒是治疗呼衰的重要步骤;在综合医院内普及和提高产、儿科医护人员气管插管、呼吸机使用和呼吸管理的技术水平,是抢救重症呼衰、降低其病死率的关键。
This article reports 60 cases of neonatal respiratory failure (respiratory failure) diagnosed by clinical manifestations and blood gas analysis, including 27 cases of type Ⅰ respiratory failure (45%) and 33 cases of type Ⅱ respiratory failure (55%). Respiratory diseases caused by respiratory failure accounted for 90%, of which neonatal severe asphyxia accounted for the first place. 26 cases died in 26 cases, the fatality rate was 43.3%. Blood gas analysis of death cases were less than pH 7.25, with mixed acidosis as much, accounting for 50%. Introduced oxygen therapy effect. Head mask oxygen is mainly used for type Ⅰ respiratory failure, mild type Ⅱ respiratory failure also have a role; indications for the application of mechanical ventilation. Pointed out that we should strengthen cooperation in pediatric obstetrics, establish a sound perinatal care network, impose high-risk management, is the prerequisite for the success of treatment of respiratory failure; improve ventilation and correct metabolic acidosis is an important step in the treatment of respiratory failure; Improve production, pediatric medical staff tracheal intubation, ventilator use and respiratory management skills, is the key to rescuing severe respiratory failure and reduce their mortality.