论文部分内容阅读
目的:对羊水Ⅲ度污染患儿进行气道灌洗治疗,减少胎粪吸入性肺炎的发生及其发病的严重程度。方法:将2006年1月～2007年10月在潍坊市妇幼保健院分娩的羊水Ⅲ度污染且羊水黏稠、喉镜下发现咽部及声带周围有胎粪颗粒的患儿分为治疗组和对照组,治疗组进行气道灌洗,对照组只采取常规方法清理呼吸道,分别观察两组新生儿胎粪吸入性肺炎(胎粪吸入综合征,MAS)的发病情况。结果:治疗组的胎粪吸入性肺炎的发病率明显降低(P<0.05),并且可减轻MAS的严重程度。结论:应用α-糜蛋白酶的生理盐水进行气道灌洗治疗技术安全、可靠,不仅能降低新生儿胎粪吸入性肺炎的发病率,还可减轻MAS的严重程度,是预防和治疗相结合的一种方法。
Objective: To treat airway lavage in children with amniotic fluid Ⅲ degree of pollution and reduce the incidence of meconium aspiration pneumonia and its severity. Methods: From January 2006 to October 2007 in Weifang Maternal and Child Health Hospital of amniotic fluid III degree of pollution and amniotic fluid viscosity, laryngoscopy found pharyngeal and vocal cord around meconium particles in children were divided into treatment group and control In the control group, only the airway lavage was performed in the treatment group and the control group only by routine methods to clear the respiratory tract. The incidence of meconium aspiration pneumonia (meconium aspiration syndrome, MAS) in both groups were observed. Results: The incidence of meconium aspiration pneumonia in the treatment group was significantly lower (P <0.05), and the severity of MAS was relieved. CONCLUSIONS: Airway lavage with a-chymotrypsin saline is safe and reliable and can not only reduce the incidence of neonatal meconium aspiration pneumonia, but also reduce the severity of MAS, which is a combination of prophylaxis and treatment a way.