摘要
目的:探讨早产儿肺出血危险因素、临床特征和预后情况。方法:选择2011年1月至2016年12月早产儿肺出血病例105例,无肺出血早产儿100例为研究对象,分析肺出血的危险因素及临床特征、预后。采用Logistic回归分析影响早产儿肺出血相关危险因素。结果:宫内窘迫、重度窒息、胎龄<32周、严重低体温、严重肺部感染、肺动脉高压是早产儿肺出血的危险因素,经皮测血氧饱和度下降、突然出现呼吸困难或呼吸困难加重、心率不稳定、肺部出现湿啰音、气管内见血性痰、肺部X片异常是主要临床特征。结论:对早产儿肺出血的危险因素及临床特征加强监测,降低早产儿肺出血的发病率,改善预后。
Objective： To explore the risk factors, clinical features and prognosis of pneumorrhagia among premature infants. Methods： 105 cases of premature pneumorrhagia and 100 cases without premature hemorrhage from January 2011 to December 2016 in our hospital were selected as the research objects. The risk factors, clinical features and prognosis of pneumorrhagia were analyzed, and Logistic regression analysis was used to explore the related risk factors of premature infant pneumorrhagia. Results： The related risk factors of premature infant pneumorrhagia included intranterine distress, severe asphyxia, gestational age 〈 32 weeks, severe hypothermia, severe pulmonary infection and pulmonary arterial hypertension; the main clinical features included percutaneous oxygen desaturation, sudden difficult breathing or breathing difficulties, heart rate instability, lung wet sound, endotracheal bloody sputum and abnormal lung X - ray. Conclusion ： Monitoring of risk factors and clinical features of pneumorrhagia should be strengthened so as to reduce the incidence and improve the prognosis.
出处
《包头医学院学报》
CAS
2017年第11期68-69,共2页
Journal of Baotou Medical College
关键词
早产儿
肺出血
危险因素
临床特征
预后
Premature infant
Pneumorrhagia
Risk factors
Clinical features
Prognosis
