摘要
目的探讨新生儿硬肿症并肺出血临床因素,并提出防治措施,以指导临床护理工作。方法对2006年1月至2008年6月间在我们医院接受诊治的27例新生儿硬肿症并肺出血患儿的临床资料进行回顾性分析。结果不同胎龄、出生体质量、日龄以及硬肿程度导致新生儿硬肿症并发肺出血的发生率比较,经统计学处理差异具有显著性(P<0.05)。18例新生儿硬肿症并肺出血患儿死亡,病死率66.67%。未行机械通气8例肺出血均死亡,病死率100%;早期气管插管发现肺出血9例,死亡5例,病死率55.56%;口鼻涌出鲜红血液6例,其中死亡5例,病死率83.33%。结论新生儿硬肿症造成肺出血的发生率与胎龄、日龄、硬肿程度、酸中毒、出生体质量等密切关系,胎龄越小、出生体质量越低、硬肿程度越重,发生肺出血的几率越高。伴有肺出血危重因素者应尽早气管插管,以便早期发现肺出血,以降低病死率。
Objective To investigate the clinical factors and preventive method for newborn infants with scleredema associated with pulmonary hemorrhage in order to guide clinical nursing. Methods Clinical data of 27 cases of newborn infans with scleredema associated with pulmonary hemorrhage admitted in this hospital during January, 2006 to May 2008 were retrospectively summarized and analyzed. Results Different gestational age, birth weight, age and degree of hard swelling scleredema resulted in occurrence of puhnonary hemorrhage were compared. Statistical analysis showed significant difference among them. 18 cases died of neonatal pulmonary hemorrhage and scleredema, and their fatality rate was 66.67%. 8 cases of infants without mechanical ventilation were all died, fatality rate was 100%. Pulmonary hemorrhage was found in 9 cases due to early tracheal intubation, 5 died, and fatality rate was 55.56%. Fresh blood flowing from mouth and nose was found in 6 cases, 5 of them died, and fatality rate was 83.33%. The difference was statistically significant （ P 〈 0.05 ）. Conclusion The incidence of pulmonary hemorrhage in scleredema neonatorum was closely associated with gestational age, age, degree of scleredema, acidosis and birth weight. The lower in gestational age and birth weight are the infants, the more serious for degree of scleredema as well as higher incidence for pulmonary hemorrhage will be.
出处
《临床和实验医学杂志》
2009年第7期107-107,109,共2页
Journal of Clinical and Experimental Medicine
关键词
新生儿
硬肿症
肺出血
气管插管
护理
Neonate
Scleredema neonatorum
Pulmonary hemorrhage
Endotracheal intubation
Nurse
