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新生儿呼吸衰竭82例临床分析 被引量:2

Clinical Analysis of 82 Cases with Neonatal Respiratory Failure
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摘要 目的探析新生儿呼吸衰竭病因及临床治疗。方法整群选取2013年1月—2014年12月该院收治的82例新生儿呼吸衰竭患儿,根据患儿不同情况采取个体化方案进行治疗,分析治疗效果及治疗前后血气分析情况。结果呼吸衰竭病因以NRDS、胎粪吸入综合征、羊水吸入性肺炎为主;82例患儿中,12例应用cpap+ps无效,其余70例经过治疗治愈或者好转,占85.37%;治疗后,p H值较治疗前有所升高,但差异不大,患儿的Pa O2、Pa CO2、Sa O2较治疗前显著提高,差异有统计学意义(P<0.05)。结论引起新生儿呼衰的因素很多,应根据患儿不同情况采取个体化方案进行治疗,及时改善患儿呼吸通路是治疗的关键。 Objective To discuss the etiology and clinical treatment of neonatal respiratory failure. Methods 82 cases of children with neonatal respiratory failure treated from January 2013 to December 2014 were selected and treated with individualized programs according to the different situations, the treatment effect and blood gas analysis before and after treatment were analyzed. Results The etiologies of respiratory failure were mainly NRDS, meconium aspiration syndrome and aspirated meconium pneumonia, in 82 cases of children, 12 cases were invalid applying cpap+ps, the other 70 cases were cured and improved after treatment, accounting for 85.37%, the p H value after treatment was improved compared with that before treatment, but the difference was not big, the Pa O2, Pa CO2 and Sa O2 of children after treatment were obviously improved compared with those before treatment, and the differences were obvious(P〈0.05). Conclusion There are many factors causing neonatal respiratory failure, individualized treatment should be taken according to the different situations of the children, and the key to the treatment is to improve the respiratory pathway of children in time.
作者 毛旭琴
出处 《中外医疗》 2016年第7期56-57,共2页 China & Foreign Medical Treatment
关键词 新生儿 呼吸衰竭 临床分析 Neonatal Respiratory failure Clinical analysis
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