临床合理用药杂志
臨床閤理用藥雜誌
림상합리용약잡지
CHINESE JOURNAL OF CLINICAL RATIONAL DRUG USE
2015年
15期
81-83
,共3页
呼吸窘迫综合征,新生儿%诊断
呼吸窘迫綜閤徵,新生兒%診斷
호흡군박종합정,신생인%진단
Respiratory distress syndrome,newborn%Diagnosis
目的:探讨新生儿呼吸窘迫综合征( NRDS)的临床治疗特点。方法回顾性分析2012年1月—2013年1月河北省某三甲医院新生儿监护室( NICU)收治的32例NRDS患儿的临床资料、实验室检查及治疗情况。结果肺部X线检查:Ⅰ级10例(31.3%),Ⅱ级5例(15.6%),Ⅲ级9例(28.1%),Ⅳ级8例(25.0%)。实验室检查:治疗前血常规检查外周血呈炎性反应;血气分析示酸中毒、PaCO2升高、PO2降低,SpO2降低;全血超敏C反应蛋白(hs- CRP)为(3.6±12.7) mg/dl,其中<1mg/dl 26例(81.3%),≥1mg/dl 6例(18.8%);血糖(5.22±1.48) mmol/L。治疗后白细胞计数和中性粒细胞分数明显降低;血浆pH值升高,酸中毒明显改善;PaCO2下降,PO2上升,SpO2增加。痰培养病原菌检查阳性4例(12.5%);血培养病原菌检查阳性3例(9.4%)。痊愈出院27例(84.4%),好转4例(12.5%),总有效率为96.9%。结论临床应充分重视NRDS患儿的临床表现及实验室检查等情况,早发现、早治疗,以提高临床疗效,减少并发症。
目的:探討新生兒呼吸窘迫綜閤徵( NRDS)的臨床治療特點。方法迴顧性分析2012年1月—2013年1月河北省某三甲醫院新生兒鑑護室( NICU)收治的32例NRDS患兒的臨床資料、實驗室檢查及治療情況。結果肺部X線檢查:Ⅰ級10例(31.3%),Ⅱ級5例(15.6%),Ⅲ級9例(28.1%),Ⅳ級8例(25.0%)。實驗室檢查:治療前血常規檢查外週血呈炎性反應;血氣分析示痠中毒、PaCO2升高、PO2降低,SpO2降低;全血超敏C反應蛋白(hs- CRP)為(3.6±12.7) mg/dl,其中<1mg/dl 26例(81.3%),≥1mg/dl 6例(18.8%);血糖(5.22±1.48) mmol/L。治療後白細胞計數和中性粒細胞分數明顯降低;血漿pH值升高,痠中毒明顯改善;PaCO2下降,PO2上升,SpO2增加。痰培養病原菌檢查暘性4例(12.5%);血培養病原菌檢查暘性3例(9.4%)。痊愈齣院27例(84.4%),好轉4例(12.5%),總有效率為96.9%。結論臨床應充分重視NRDS患兒的臨床錶現及實驗室檢查等情況,早髮現、早治療,以提高臨床療效,減少併髮癥。
목적:탐토신생인호흡군박종합정( NRDS)적림상치료특점。방법회고성분석2012년1월—2013년1월하북성모삼갑의원신생인감호실( NICU)수치적32례NRDS환인적림상자료、실험실검사급치료정황。결과폐부X선검사:Ⅰ급10례(31.3%),Ⅱ급5례(15.6%),Ⅲ급9례(28.1%),Ⅳ급8례(25.0%)。실험실검사:치료전혈상규검사외주혈정염성반응;혈기분석시산중독、PaCO2승고、PO2강저,SpO2강저;전혈초민C반응단백(hs- CRP)위(3.6±12.7) mg/dl,기중<1mg/dl 26례(81.3%),≥1mg/dl 6례(18.8%);혈당(5.22±1.48) mmol/L。치료후백세포계수화중성립세포분수명현강저;혈장pH치승고,산중독명현개선;PaCO2하강,PO2상승,SpO2증가。담배양병원균검사양성4례(12.5%);혈배양병원균검사양성3례(9.4%)。전유출원27례(84.4%),호전4례(12.5%),총유효솔위96.9%。결론림상응충분중시NRDS환인적림상표현급실험실검사등정황,조발현、조치료,이제고림상료효,감소병발증。
Objective To analyze the clinical diagnosis and treatment of neonatal respiratory distress syndrome. Methods The clinical data of 32 children with NRDS,laboratory examination and treatment admitted to the People's Hospital of Linxi County of the neonatal intensive care unit( NICU)from January 2012 to January 2013 were retrospectively analyzed. Results Pulmonary X - ray check - up:Ⅰlevel 10 cases( 31. 3%),Ⅱ level 5 cases( 15. 6%),Ⅲ level 9 cases (28. 1%),Ⅳ level 8 cases(25. 0%);laboratory examination:before treatment,blood routine examination was peripheral inflammation;blood gas analysis showed acidosis,raised PaCO2 ,reducing PO2 ,SpO2 reduced;whole blood hypersensitive C-reactive protein(hs -CRP)was(3. 6 ± 12. 7)mg/dl,<1mg/dl 26 cases(81. 3%),≥1mg/dl 6 cases(18. 8%);blood glucose was(5. 22 ± 1. 48) mmol/L. After treatment,leukocyte count and neutrophil percentage were decreased;higher plasma pH,improved acidosis;PaCO2 decreased,PO2 raised,SpO2 increased. Sputum culture showed positive pathogen in 4 cases(12. 5%);blood culture pathogens check were positive in 3 cases(9. 4%). 27cases were cured(84. 4%),4 cases were improved(12. 5%),the total effective rate was 96. 9%. Conclusion NRDS should care the clinical manifestation and laboratory examination,early detection and early treatment,in order to improve the clinical curative effect,reduce the compli-cations.