摘要
[目的]观察牛肺表面活性物质（珂立苏）联合机械通气治疗新生儿呼吸窘迫综合征（NRDS）的疗效。[方法]对27例NRDS患儿在机械通气的同时,经气管导管滴入珂立苏,同时在NRDS患儿治疗过程给予保暖、保持呼吸道通畅、保证足够的营养和热量、严格无菌操作等护理。[结果]27例患儿治愈17例,明显好转6例,2例于刚撤机后家属要求回当地医院治疗,放弃治疗及病死各1例。23例NRDS患儿用药效果好,面色红润,血氧饱和度维持在87%~93%。[结论]珂立苏治疗NRDS疗效确切,早期足量应用珂立苏并给予积极有效的护理是治疗NRDS成功的有效方法。
Objective：To observe the effect of pulmonary surfactant obtained from cattle（calsurf） combined with mechanic ventilation to treat newborns with neonatal respiratory distress syndrome（NRDS）.Methods：A total of 27 newborns with NRDS were given calsurf via endotracheal tube while accepting mechanical ventilation.At the same time,newborns were kept body warm and airway unobstructed.All babies were given enough nutrients and calories and strict aseptic nursing.Results：Among all 27 cases,17 cases have cured,6 newborns were significantly improved.And 2 newborns treated back to local hospital after withdrawal of ventilator.One case was given up the treatment and one was died.Totally 23 NRDS neonates gained good drug effect.Their face were rosy complexion and their transcutaneous oxygen saturation（SpO2） kept at 87%~93%.Conclusion：To apply calsurf to treat newborns with NRDS can gain exact effect.Enough calsurf given in the early combined with positive and effective nursing care is an effective way for successful treatment of newborns with NRDS.
出处
《全科护理》
2011年第5期377-378,共2页
Chinese General Practice Nursing
基金
重庆市医学重点学科建设经费资助项目
关键词
新生儿呼吸窘迫综合征
牛肺表面活性物质
疗效
护理
neonatal respiratory distress syndrome
pulmonary surfactant obtained from cattle
effect
care
