国际医药卫生导报
國際醫藥衛生導報
국제의약위생도보
INTERNATIONAL MEDICINE & HEALTH GUIDANCE NEWS
2013年
7期
969-971
,共3页
急性呼吸窘迫综合症%足月儿%新生儿%临床分析
急性呼吸窘迫綜閤癥%足月兒%新生兒%臨床分析
급성호흡군박종합증%족월인%신생인%림상분석
Acute respiratory distress syndrome%Full-term%Newborns%Clinical analysis
目的 探讨足月新生儿急性呼吸窘迫综合症(acute respiratory distress syndrome,ARDS)的高危因素及防治.方法 回顾分析13例明确诊断新生儿急性呼吸窘迫综合症且为足月儿的患儿的发病高危因素、胸片表现及救治过程.结果 经呼吸机辅助通气为主的综合治疗后12例患儿救治成功,1例合并严重持续肺动脉高压(persistent pulmonary hypertension of newborn,PPHN)家属放弃治疗后死亡.结论 对于足月新生儿急性呼吸窘迫综合症要以预防为先:严格遵从剖宫产指征,掌握正确新生儿窒息复苏,避免新生儿窒息缺氧；治疗上只有早发现、早治疗,把握好窗口期,才能降低病死率,提高治愈率.
目的 探討足月新生兒急性呼吸窘迫綜閤癥(acute respiratory distress syndrome,ARDS)的高危因素及防治.方法 迴顧分析13例明確診斷新生兒急性呼吸窘迫綜閤癥且為足月兒的患兒的髮病高危因素、胸片錶現及救治過程.結果 經呼吸機輔助通氣為主的綜閤治療後12例患兒救治成功,1例閤併嚴重持續肺動脈高壓(persistent pulmonary hypertension of newborn,PPHN)傢屬放棄治療後死亡.結論 對于足月新生兒急性呼吸窘迫綜閤癥要以預防為先:嚴格遵從剖宮產指徵,掌握正確新生兒窒息複囌,避免新生兒窒息缺氧；治療上隻有早髮現、早治療,把握好窗口期,纔能降低病死率,提高治愈率.
목적 탐토족월신생인급성호흡군박종합증(acute respiratory distress syndrome,ARDS)적고위인소급방치.방법 회고분석13례명학진단신생인급성호흡군박종합증차위족월인적환인적발병고위인소、흉편표현급구치과정.결과 경호흡궤보조통기위주적종합치료후12례환인구치성공,1례합병엄중지속폐동맥고압(persistent pulmonary hypertension of newborn,PPHN)가속방기치료후사망.결론 대우족월신생인급성호흡군박종합증요이예방위선:엄격준종부궁산지정,장악정학신생인질식복소,피면신생인질식결양；치료상지유조발현、조치료,파악호창구기,재능강저병사솔,제고치유솔.
Objective To investigate the risk factors and prevention of acute respiratory distress syndrome (ARDS) in full-term infants.Methods The high-risk factors,chest X-ray manifestations,and treatment process were retrospectively analyzed in 13 full-term newborns diagnosed as neonatal acute respiratory distress syndrome.Results After administration with mechanical ventilation,12 newborns were successfully saved.The remaining one complicated by severe persistent pulmonary hypertension of newborn was dead because of abandoning treatment.Conclusions Prevention should be taken first in fullterm newborns with acute respiratory distress syndrome.We should strictly follow the indications of Cesarean section,grasp correct cardiopulmonary resuscitation of neonatal asphyxia,and avoid neonatal asphyxia.Only early diagnosis and treatment can reduce the mortality rate and improve the cure rate.
