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目的探讨机械通气在新生儿肺出血治疗中的临床方法及价值,从而为救治新生儿肺出血提供指导。方法对宝安人民医院2007年7月至2010年9月收治的28例新生儿肺出血,应用机械通气的治疗方法进行总结分析。结果存活25例,死亡3例,治愈率89.28%。其中早产儿肺出血治愈率为81.48%,病死率为18.52%。足月儿及过期产儿7例治愈率100%。其死亡原因主要为低体质量、颅内出血、弥散性血管内凝血、重症感染、重度肺透明膜病等。结论机械通气是治疗新生儿肺出血不可替代的措施,早诊断、早上机且有效的调节呼吸机参数有利于提高新生儿肺出血治愈率。
Objective To explore the clinical methods and value of mechanical ventilation in the treatment of neonatal pulmonary hemorrhage, so as to provide guidance for the treatment of neonatal pulmonary hemorrhage. Methods A total of 28 neonates with pulmonary hemorrhage who were treated in Baoan People’s Hospital from July 2007 to September 2010 were analyzed with the method of mechanical ventilation. Results Survival in 25 cases, 3 patients died, the cure rate was 89.28%. Among them, the cure rate of pulmonary hemorrhage in premature infants was 81.48% and the case fatality rate was 18.52%. 7 cases of full-term children and expired children cure rate of 100%. The main causes of death were low body mass, intracranial hemorrhage, disseminated intravascular coagulation, severe infection, severe pulmonary hyaline membrane disease. Conclusion Mechanical ventilation is an irreplaceable measure for the treatment of neonatal pulmonary hemorrhage. Early diagnosis, morning machine and effective adjustment of ventilator parameters are helpful to improve the cure rate of neonatal pulmonary hemorrhage.