新生儿肺出血死亡病例分析

• 作 者: 岑锡棠 蔡卫明
• 机 构: 广州市红十字会医院,广州市红十字会医院,
• 出 处: 新生儿科杂志
• 发表日期: 1991年01期
• 关键词: 新生儿肺出血 死亡病例分析 新生儿窒息 肺出血 呼吸暂停 呼吸窘迫 羊水吸入 围产期窒息 羊水胎粪 新生儿期

肺出血是新生儿死亡的重要原因。本文报告60例,其中早产28例,足月32例。早期临床诊断仅12例,生后12小时诊断45例,生后3天诊断15例。最常见的原因是新生儿窒息(61.6％),可于生后12小时内死亡。主要临床表现有体温不升(58.3％)、呼吸窘迫(43.2％)、呼吸暂停(46.7％)。同期尸检110例有60例肺出血(54％),其中广泛大量的出血49例,二个以上肺叶出血11例。

Pulmonary hemorrhage is an important cause of neonatal death. This article reports 60 cases, of which 28 cases of preterm birth, full-term in 32 cases. Only 12 cases were diagnosed early, 45 cases were diagnosed 12 hours after birth and 15 cases were diagnosed 3 days after birth. The most common cause was neonatal asphyxia (61.6%) and death within 12 hours of birth. The main clinical manifestations were ascending body temperature (58.3%), respiratory distress (43.2%), apnea (46.7%). There were 60 cases of pulmonary hemorrhage (54%) in 110 cases during autopsy at the same period, among which 49 cases were extensive and massive bleeding and 11 cases were bleeding in more than two lobes.