论文部分内容阅读
目的探讨早产儿湿肺伴急性呼吸窘迫综合征的临床特点和机械通气治疗的效果。方法分析我科1998年1月至2002年8月收治的30例早产儿湿肺伴急性呼吸窘迫综合征的临床表现、动脉血气变化及机械通气疗效。结果早产儿湿肺伴急性呼吸窘迫综合征者占同期新生儿湿肺总数的20%(30/150)。30例均为剖宫产。临床表现以气促、呼吸困难、青紫为主,24h后明显加重,胸片显示急性呼吸窘迫综合征。30例均需机械通气治疗,5、6d临床症状明显好转,全部治愈。结论早产儿湿肺可继发急性呼吸窘迫综合征,动态观察胸片变化和及时行机械通气治疗有助于治疗。
Objective To investigate the clinical characteristics of premature infants with acute respiratory distress syndrome and the effect of mechanical ventilation. Methods The clinical manifestations, arterial blood gas changes and mechanical ventilation in 30 cases of premature infants with acute respiratory distress syndrome admitted in our department from January 1998 to August 2002 were analyzed. Results Premature children with wet lungs and acute respiratory distress syndrome accounted for 20% (30/150) of the total number of wet lungs in the same period. 30 cases were cesarean section. Clinical manifestations of shortness of breath, difficulty breathing, purple-based, significantly increased after 24h, chest X-ray showed acute respiratory distress syndrome. 30 cases were treated with mechanical ventilation, 5,6d clinical symptoms improved significantly, all cured. Conclusions The wet lung in premature infants may be secondary to acute respiratory distress syndrome. Dynamic observation of the changes of chest radiograph and timely mechanical ventilation may be helpful for the treatment.