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目的:分析190例足月新生儿急性呼吸窘迫综合征的高危因素、诊治特点及结果。方法:回顾性分析2008年6月～2010年9月190例急性呼吸窘迫综合征足月新生儿的临床资料。结果:190例患儿治愈178例,放弃治疗12例。高危因素主要为重度窒息、宫内窘迫和剖宫产,机械通气治疗前后血气分析结果差异有统计学意义(P<0.05)。结论:足月新生儿急性呼吸窘迫综合征的高危因素主要为重度窒息、宫内窘迫和剖宫产等,临床表现及胸片有一定的特殊性,机械通气为有效治疗方法,结合针对性的护理措施能够有效改善患者病情,降低新生儿死亡率。
Objective: To analyze the risk factors, diagnosis and treatment characteristics and the results of 190 cases of full-term neonates with acute respiratory distress syndrome. Methods: The clinical data of 190 full-term newborns with acute respiratory distress syndrome from June 2008 to September 2010 were retrospectively analyzed. Results: 190 cases of children cured 178 cases, give up treatment in 12 cases. Risk factors were mainly severe asphyxia, intrauterine distress and cesarean section, mechanical ventilation before and after the blood gas analysis results were statistically significant (P <0.05). Conclusion: The high risk factors of acute respiratory distress syndrome in term neonates are severe asphyxia, intrauterine distress and cesarean section. The clinical manifestations and chest radiograph have certain specialties. Mechanical ventilation is an effective treatment method, combined with targeted Nursing measures can effectively improve the patient’s condition, reduce neonatal mortality.