新生儿呼吸衰竭196例临床分析  

Clinical analysis of 196 neonate respiratory failure cases

作　　者：陈彦香[1] 林芳[1] 韦志峰 胡联儒[1] 

机构地区：[1]宁夏银川市第一人民医院儿科,宁夏银川750001 [2]宁夏灵武矿务局灵新医院儿科,宁夏灵武751409

出　　处：《宁夏医学杂志》2000年第2期81-82,共2页Ningxia Medical Journal

摘　　要：目的　探讨导致新生儿呼吸衰竭 (呼衰 )的发生以及死亡的常见病。方法　对近 9年来收治的 196例新生儿呼衰 ,从不同的原发病以及分娩方式、胎龄及日龄与呼衰的发生及预后进行分组对比。结果　发现以窒息、严重的吸入及缺血缺氧性脑病 (HIE)引起呼衰的发生率较高 ,分别占呼衰病人的 18.88%、11.73%及 17.35 % ;其次旧法接生、早产儿及发病日龄≤ 7天的 ,呼衰的病死率分别为 34 .72 %、2 3.2 8%及 19.2 % ,高于新法接生、足月儿及发病日龄≥ 7天的。结论　选择合适的分娩方式、降低窒息的发生率及加强早产儿的护理是降低新生儿死亡率的关键。Objectives To discuss what results in the occurence of neonatal respiratory failure and ordinary obtuary pathogent.Methods Over the past 9 years,for the cured 196 neonate respiratory failure cases,it is divided into groups and made comparison between diverse protopathy,different parturition,faetus duration,days after delivery and occurence of repiratory failure along with prognosis.Results the occurence rate of respiratory failure caused by suffocation,serious inhalation and HIE is higher,which account for 18.88%,11.73,and 17.35%,respectively in total repiratory failure patients.Then,the old delivery method and premature infants as will as infants with the duration of morbidy to be less than or equatable to 7 days,the respiratory failure thanatology are 34.72%,23.28%,and 19.2% among the total,which are higher than those who are deliveried by new method,term matured and with the duration of affection to be greater than 7 days.Conclusions To select appropriate delivery method and knock-down the incidence and improve nursing of premature infant are a key in abatement of neonatal mortality rate

关 键 词：新生儿 呼吸衰竭 诊断 治疗 

分 类 号：R722.12[医药卫生—儿科]