早产儿湿肺的临床特征及治疗对策  

Clinical features and treatment of transient tachypnea in the premature infants

作　　者：吴莉[1] 顾爱珠[1] 姚明珠[1] 印学蕾[1] 陈豪[1] 徐秋玲[1] 

机构地区：[1]上海市第一妇婴保健院,上海200040

出　　处：《小儿急救医学》2005年第1期46-48,共3页Pediatric Emergency Medicine

摘　　要：目的　对上海市早产儿中心早产儿湿肺发生情况、临床特征进行调查分析 ,旨在提高对该病的进一步认识。方法　调查 2 0 0 2年 1月 1日～ 2 0 0 3年 12月 31日出生的活产早产婴儿 75 2例 ,临床表现湿肺症者 4 8例。回顾性总结分析该病的临床特点、严重程度及影响因素、治疗手段和预后。结果　早产儿湿肺发生率为 6 38% ,可发生在各胎龄段和体重段之间。临床表现以症状出现早 ,多有呻吟、青紫、反应较差、明显吸凹征等为特点。病情严重程度与心脏功能密切相关。严重者多需用机械辅助通气。单纯湿肺症预后良好。结论　早产儿湿肺发生率相当高 。Objective To investigate the incidence and clinical features of transient tachypnea of the premature infants.Methods The records of 48 preterm infants with transient tachypnea diagnosed among 752 premature live births delivered in our hospital from January 1,2002 to December 31,2003 were reviewed,analysed the clinical characteristics、severity、therapeutic measures and outcome for the disease.Results The incidence of transient tachypnea in the preterm infants in our data was 6.38%(48/752).Premature infants in any gestational age more than 30 weeks and birth weight more than 1000 grams developed transient tachypnea after birth.We found that premature infants appeared tachypnea onset earlier than full term infants,with expiratory grunting、cyanosis、poor response、significant retractions.The more severe cases needed treating with ventilator support and were directly related to cardiac function.Our results showed that the cases without complications had a good prognosis.Conclusion The incidence of transient tachypnea in premature neonates was significantly higher and associated with delivery by cesarean section.It is important to evaluate cardiac function and be aimed at treatment.

关 键 词：湿肺 发生率 早产儿 

分 类 号：R722.6[医药卫生—儿科]