足月新生儿急性呼吸窘迫综合征的临床特征分析  

Clinical Characteristics of Acute Respiratory Distress Syndrome in Full-term Neonates

作　　者：张璇[1] ZHANG Xuan(Anshun maternal and child health care hospital of Guizhou province, Anshun Guizho)

机构地区：[1]贵州省安顺市妇幼保健院

出　　处：《世界最新医学信息文摘》2017年第27期37-37,39,共2页World Latest Medicine Information Electronic Version

摘　　要：目的分析足月新生儿急性呼吸窘迫综合征的临床特征。方法在2014年2月23日至2017年2月23日期间选取100例急性呼吸窘迫综合征的足月新生儿为实验对象,且回顾性分析此类新生儿的临床特征。结果通过总结,发现97.00%的新生儿均存在呻吟现象,46.00%的新生儿存在吐沫现象,90.00%的新生儿症状均在出生后1小时以内出现,且经实验室检查,可发现48.00%的新生儿存在血钠异常现象,35.00%的新生儿存在血钙异常现象,同时经影像学检查,可发现79.00%的新生儿存在双肺透过度低现象,21.00%的新生儿存在白肺现象。结论急性呼吸窘迫综合征的足月新生儿多见于窒息、休克、感染及母亲患糖尿病等情况下,尤以窒息患儿发生率较高。常见特征为呻吟,经影像学检查可发现双肺透亮度过低或"白肺"现象。Objective To analyze the clinical characteristics of acute respiratory distress syndrome in term neonates. Methods 100 patients with acute respiratory distress syndrome were selected from February 23, 2014 to February 23, 2017 as the experimental object,and retrospective analysis of the clinical features of these newborns. Results Through summary, found that 97.00% of newborns are groaning phenomenon, 46.00% of newborns have spit phenomenon, 90.00% of neonatal symptoms appeared within less than 1 hours, and by laboratory tests examination, it can be found that 48.00% of newborns have abnormal blood sodium, at the same time by imaging examination, it can be found that 79.00% of newborns with low lung permeability, 21.00% of newborns have a white lung phenomenon. Conclusion Acute respiratory distress syndrome full-term neonates more common in asphyxia, shock, infection and mothers suffering from diabetes, etc. The incidence is higher of the asphyxia children. The common feature is moaning,and the low double lung brightness or the ＂white lung＂ 0henomenon can be found by imaging examination.

关 键 词：足月新生儿 急性呼吸窘迫综合征 临床特征 

分 类 号：R722.1[医药卫生—儿科]