摘要
摘要目的研究早产儿重症湿肺的临床特征及影响治疗的高危因素.方法回顾性分析新生儿重症监护室收治的２６例早产重症湿肺患儿,分为无创通气组和有创通气组,统计两组患儿的断脐时间、Apgar评分、血气分析检测结果以及疗效转归的情况.结果２６例早产儿中无创呼吸组８例,有创呼吸组１８例.无创呼吸组的断脐时间显著长于有创通气组,两组患儿入院时均存在不同程度的血气改变,有创通气组更显著.与无创通气组对比,有创通气组的症状好转时间、住院时间长,住院病死率高.结论早产儿重症湿肺以剖宫产多见,多合并多种并发症,适当延迟断脐时间、掌握机械通气时机对于早产重症湿肺患儿的整体情况及呼吸循环功能有显著改善.关键词早产儿;湿肺;机械通气ClinicalstudiesonseriouswetlungofprematurenewbornJiangLi,HuYu－hua,CuiShu－dong,JinRui,ZhuLiang－hua．ThefirstaffiliatedhospitalofNanjingMedicalUniversity,Nanjing,２１００３６,China．AbstractObjectiveToresearchtheclinicalfeaturesofseriouswetlungofprematurenewbornandtoidentifyhigh－riskfactorsfortreatment．Methods２６casesofprematurenewbornwithseriouswetlunginNICUwereretrospectivelystudied,andweredividedintononinvasiveventilationgroupandinvasiveventilaＧtiongroup．Comparedthetwogroupswithumbilicalcordcuttingtimings,Apgarscore,arterialbloodgasandassessmentofcurativeeffect．ResultTherewere８newbornsinnoninvasiveventilationgroupand１８ininvasiveventilationgroup．UmbilicalcordcuttingtimingofnoninvasiverespiratorygroupwassignificantlylonＧgerthaninvasiveventilationgroup．BothoftwogroupsvariedinABG,whileinvasiveventilationgroupwasmoresignificant．ComparedwithnoninvasiveventilaＧtiongroup,disappearanceofsymptomsandhospitalstayininvasiveventilationgroupwerelonger,andhigherincasefatalityrate．ConclusionSeriouswetlungissignificantlyassociatedwithcesareansectioninprematurenewborn,withavarietyofcomplications．DelayingumbilicalcordcuttingtimingandappropriaterespirＧatorysupportwillbebenefittotheprematurenewbornoverallsituationandrespiratoryfunction．KeywordsPrematurenewborn;Wetlung;Machanicalventilation中图分类号R４５３文献标识码B文章编号１００８－６３１５(２０１５)１０－０４２５－０２
出版日期
2015年09月19日（中国期刊网平台首次上网日期，不代表论文的发表时间）
