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目的探讨足月新生儿继发性呼吸窘迫综合征发生原因及相关治疗方法。方法选取在我院接受新生儿继发性呼吸窘迫综合征患者38例,根据欧美国家对新生儿继发性呼吸窘迫综合征的相关者诊断标准,对患者的临床表现、血气分析、胸片以及治疗预后措施进行资料的分析。结果导致足月儿继发性呼吸窘迫的主要高危因素是窒息,其次主要原因是吸入。本组38例患者中有32例患者治愈,4例患者出现病症好转,1例患者死亡,1例患者放弃治疗。对新生儿继发性呼吸窘迫患者进行呼吸机治疗,治疗时间为3d～6d,最高峰压为15～25cmH2O,平均气道压值为6～12cmH2O。出现合并呼吸机相关性肺炎症状为2例,出现肺出血现象有1例。结论新生儿足月新生儿继发性呼吸窘迫综合征的主要危险因素是窒息,而吸入是第二高危因素。对新生足月儿继发性呼吸窘迫综合征患者早期采用机械通气治疗,治疗效果良好。
Objective To investigate the causes and treatment of secondary respiratory distress syndrome in term neonates. Methods Thirty-eight cases of secondary respiratory distress syndrome in our hospital were selected. According to the diagnostic criteria of the secondary respiratory distress syndrome in Europe and the United States, the clinical manifestations, blood gas analysis, chest radiograph, Treatment prognostic measures for data analysis. As a result, the main risk factor for secondary respiratory distress in term infants was asphyxia, followed by inhalation. Thirty-two of the 38 patients in this group were cured, four had symptoms that improved, one died, and one gave up treatment. Ventilator treatment of neonatal patients with secondary respiratory distress, the treatment time is 3d ~ 6d, the peak pressure of 15 ~ 25cmH2O, mean airway pressure of 6 ~ 12cmH2O. There were 2 cases of pneumoconiosis associated with ventilator, 1 case of pulmonary hemorrhage. Conclusions The main risk factor for neonatal full-term neonatal secondary respiratory distress syndrome is asphyxia, while inhalation is the second most risky factor. Early neonatal term infants with respiratory distress syndrome in patients with early mechanical ventilation, the treatment effect is good.