论文部分内容阅读
本文将22例新生儿肺膨胀不全(除外肺透明膜病及先天畸形因素所致)临床资料与尸解病理资料对照分析,提示:中枢神经病理状态所致中枢性呼吸障碍是新生儿肺膨胀不全重要因素之一,病因为:颅内出血,早产儿呼吸中枢发育不成熟,母孕期用药所致患儿呼吸中枢受抑.50%膨胀不全区合并肺炎,认为该区淤血、水肿利于细菌繁殖.膨胀不全所致PO_2上升不足可使27%患儿动脉导管开放及卵圆孔未闭.合理的防治措施为:1.放宽剖腹产指征.2.对早产儿及母孕期服药患儿出生后应重点监护,加强呼吸管理.3.加压呼吸促使肺膨胀.4.积极抗感染.
In this paper, 22 cases of neonatal lung dysplasia (except hyaline membrane disease and congenital malformations caused by clinical data and autopsy pathological data control analysis, suggesting that: central nervous system pathological conditions caused by central respiratory disorder is neonatal lung dysfunction One of the important factors, the etiology is: intracranial hemorrhage, immature immature respiratory center in preterm infants, the mother’s respiratory depression caused by medication during pregnancy .50% of patients with pneumonia in the area of incomplete expansion, that the area congestion, edema conducive to bacterial growth. Inadequate PO_2 rise can make 27% of children with patent ductus arteriosus and patent foramen ovale.Reasonable prevention and treatment measures: 1. To relax the indication of caesarean section.2.For premature infants and pregnant women taking medication should be the focus of postpartum Guardianship and strengthening of respiratory management .3. Pressure breathing promote lung expansion .4 active anti-infection.