125例新生儿休克的临床分析  

CLINICAL ANALYSIS OF 125 NEONATAL SHOCK CASES

作　　者：张楠[1] 刘红[1] 李克华[1] 刘靖媛[1] 李云娟[1] 王雷[1] 

机构地区：[1]首都医科大学附属北京儿童医院NICU,100045

出　　处：《新生儿科杂志》2003年第2期82-85,共4页The Journal of Neonatology

摘　　要：通过对新生儿休克的临床分析,发现新生儿休克的特点,更好的指导早期诊断、治疗及预后,乃对1997年1月～2002年4月125例新生儿休克进行临床回顾性分析。结果显示:休克发生于0～3天99例,占79.2％,3～7天13例,占10.4％,7～28天13例,占10.4％。心源性休克88例,占70.4％,低血容量性休克67例,占53.6％,其中上述两种休克同时存在的43例,占34.4％;感染性休克13例,占10.4％,无过敏性休克。有85.6％的患儿存在呼吸系统症状,应用呼吸支持117例,占93.6％。治愈93例,治愈率74.4％,死亡8例,病死率6.4％。合并胃肠功能障碍73例,继发ARDS29例,继发支气管肺发育不良4例,继发肾功能不全2例。不难看出:新生儿休克多发生于新生儿早期,以心源性休克最多见,其次为低血容量性休克,但应注意上述两种休克常同时存在,只要给予及时有效的治疗,特别是呼吸支持,预后良好。To study the clinical features of neonatal shock, improving the early recognition, treatment and the prognosis of the disease, 125 cases of neonatal shock during 1997 and 2002 were analyzed by retrospece-tive study. Results showed: of all the 125 cases, 99(79. 2%) occurred within 3 days after birth, 13 (10.4%) occurred during 3-7 days, and 13 (10. 4%) developed during 7-28 days 88, cases (70.4%) belonged to cardiogenic shock, and 67 cases were hypovolemic shock, while 46(34.4%) cases developed with both types occurred. Only 13(10.25%)cases were septic shock. 85.6% of all the shock cases presented with respiratory symptoms and 117(93.6%) were treated by respiratory support. Totally, there were 93(74.4%)cases cured, only 8(6.4%)died. The most common complications were gastrointestinal dysfunction (58.4%), ARDS (23.2 %), bronchopulmonary dysplasia (3.2%), and renal dysfunction(1.6% ). Obviously, most neonatal shocks occurrs in early neonatal period. Cardiogenic shock is the most common shock, others as hyporolemic sock, as especial attention should be paid to those cases with both types presented. Effective therapy, especially the early respiratory support leads to a good prognosis.

关 键 词：新生儿 休克 临床分析 早期 诊断 治疗 预后 

分 类 号：R722.1[医药卫生—儿科]