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新生儿肺出血是一严重的临床征候,为导致新生儿死亡的重要原因之一。本文对21例肺出血进行临床分析。每组病例均发生在生后二周内,<2500克的低体重儿18例占85.5%,早产儿15例占71.4%,此均与该年令阶段的某些解剖生理特点有关,但此仅为肺出血发生的病生基础,只有在一定诱发因素作用下才发生肺出血。本组全部病例均合并严重感染,其中肺炎20例,硬肿症16例;据临床及实验室资料诊断为DIC的7例。本症早期诊断比较困难,由尸解发现肺出血者大大高于临床。本症的防治应是综合性的,重点在于预防肺出血的发生。
Pulmonary hemorrhage in neonates is a serious clinical symptom and is one of the important causes of neonatal death. In this paper, 21 cases of pulmonary hemorrhage clinical analysis. Each group of patients occurred within two weeks after birth, 18 cases of low birth weight <2500 g accounted for 85.5%, 15 cases of premature children accounted for 71.4%, which are related to some anatomical and physiological characteristics of the year-end stage, but this Pulmonary bleeding occurs only for the basis of the disease, only in a certain predisposing factors, pulmonary hemorrhage occurred. All cases in this group were complicated with serious infection, of which 20 cases of pneumonia, sclerema in 16 cases; according to clinical and laboratory data were diagnosed as DIC in 7 cases. Early diagnosis of this disease is more difficult, from the autopsy found that pulmonary hemorrhage was significantly higher than the clinical. The prevention and treatment of this disease should be comprehensive, focusing on the prevention of pulmonary hemorrhage.