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新生儿肺出血是导致新生儿死亡的重要原因之一。本院儿科新生儿病房1985年3月～1987年2月共收治724例,其中临床诊断肺出血者13例,治愈1例,处于频死状态自动出院2例(应作死亡计),死亡10例,占同期死亡新生儿84例的14.3％。 一、临床资料 (一)本组13例中,男12例,女1例;早产产儿4例,足月儿9例;其中小于胎龄儿3例,<2500g的低体重儿7例,入院体温(腋温)<36℃者9例,其中体温≤35℃4例。 (二)原发病及发病日龄:败血症8例,化脓性脑膜炎2例,感染性肺炎1例,绿脓杆菌肠炎1例,低钙血症4例,先天性心脏病1例,糖原累积病1例,肾功能衰竭1例。13例中合并硬肿症者8例,DIC7例。生后一周内发病11例,一周以上发病2例。
Neonatal pulmonary hemorrhage is one of the important causes of neonatal death. The pediatric neonatal ward in March 1985 ~ February 1987 were treated a total of 724 cases, of which 13 cases of clinical diagnosis of pulmonary hemorrhage, cured in 1 case, was automatically discharged in a frequency of death in 2 cases (should be counted as death), death 10 Cases, accounting for 14.3% of 84 newborns died during the same period. First, the clinical data (A) of the group of 13 cases, 12 males and 1 females; preterm birth in 4 cases, full-term children in 9 cases; of which 3 were less than gestational age, <2500g of low birth weight children in 7 cases Body temperature (axillary temperature) <36 ℃ in 9 cases, of which body temperature ≤ 35 ℃ in 4 cases. (B) of the primary disease and the age of onset: sepsis in 8 cases, 2 cases of purulent meningitis, pneumonia in 1 case, Pseudomonas aeruginosa enteritis in 1 case, 4 cases of hypocalcemia, congenital heart disease in 1 case, sugar The original cumulative disease in 1 case, 1 case of renal failure. Thirteen patients with scleroderma in 8 cases, DIC7 cases. In one week after birth, onset of 11 cases, more than one week of onset in 2 cases.