论文部分内容阅读
目的研究不同给止血药途径联合机械通气治疗新生儿肺出血的临床疗效。方法选取某医院2014年2月~2014年10月期间接诊的80例新生儿肺出血患者作为研究对象,将其进行随机分组,每组备40人,两组均进行常规检查与治疗,然后对对照组患者给予呼吸机联合静脉推注白眉蛇毒血凝酶,研究组患者在对照组的基础上同时给予气管内滴入白眉蛇毒血凝酶,对其结果进行比较分析。结果经过治疗后,研究组患者的肺出血时间及使用呼吸机时间均明显低于对照组患者,且研究组患者在24小时内止血、肺出血停止/死亡的比例均明显高于对照组患者,数据间差异具有统计学意义(P<0.05)。除此之外,研究组患者的总有效率为82.5%,而对照组患者的总有效率为60.0%,研究组患者的总有效率明显高于对照组患者,具有统计学意义(P<0.05)。结论不同给止血药途径联合机械通气治疗新生儿肺出血效果显著,可以明显缩短使用呼吸机时间,提高了治愈率,具有临床应用价值,值得推广。
Objective To study the clinical effects of different hemostatic agents combined with mechanical ventilation on neonatal pulmonary hemorrhage. Methods A total of 80 neonates with pulmonary hemorrhage admitted during the period from February 2014 to October 2014 in a hospital were enrolled in this study. They were randomized to 40 patients in each group. Both groups were routinely examined and treated. Then, Patients in the control group were given Ventilator combined intravenous injection of Bai Mei snake venom hemagglutinin, the study group patients were given intratracheal instillation of white-browed snake venom blood coagulation enzyme on the basis of the control group, and the results were compared. Results After treatment, the study group of patients with pulmonary hemorrhage time and the use of ventilator time were significantly lower than the control group, and the study group patients within 24 hours to stop bleeding, pulmonary bleeding stop / death were significantly higher than the proportion of patients in the control group, The difference between the data was statistically significant (P <0.05). In addition, the total effective rate of study group was 82.5%, while the total effective rate of control group was 60.0%. The total effective rate of study group was significantly higher than that of control group (P <0.05 ). Conclusions Different hemostatic agents combined with mechanical ventilation for the treatment of neonatal pulmonary hemorrhage have significant effects, which can significantly shorten the use of ventilator time and improve the cure rate, which has clinical value and is worth promoting.