摘要
目的探讨早产儿湿肺的发生情况、临床特点和机械通气治疗效果。方法回顾分析36例早产儿湿肺的临床特征、严重性、X线征象、治疗效果及预后。结果早产儿湿肺占同期新生儿湿肺的比例为20.57%。早产儿湿肺在早产儿中发生率为17.06‰,临床表现以呻吟、气促、青紫、吸气时吸凹征及反应差为主要临床特点,严重者多于24 h后明显加重,多需机械通气治疗。肺泡和肺间质积液、肺淤血、肺气肿、心影增大是其主要的X线征象。结论早产儿湿肺发病率高,轻症湿肺预后良好,重症湿肺需及时机械通气治疗。
Objective To explore the incidence,clinical characteristics and effect of mechanical ventilation of transient tachypnea in the premature infants.Methods The thirty six premature infants with transient tachypnea were reviewed and analyzed according to the clinical characteristics,severity,appearances of chest X-ray,therapeutic measures and outcome of the disease.Results The transient tachypnea of the premature infants accouted for 20.57 % of the total transient tachypnea infants,and the incidence of transient tachypnea in the premature infants was 17.06 ‰ at the same period in our data.Clinical manifestations were tachypnea,expiratory grunting,retractions,cyanosis,poor response,the more severe cases were exacerbated after 24 hours and needed treating with ventilator support.The alveolar pulmonary interstitium effusion,pulmonary interstitial fluid,pulmomary interstitium effusion,pulmonary interstitial fluid,pulmonary emphysem and cardiac dilatation were the the main appearancs of transient tachypnea in premature infants.Conclusion The incidence of transient tachypnea is high in premature infants,the cases without complications have a good prognosis and timely mechanical ventilation are helpful for the more severe cases.
出处
《中南医学科学杂志》
CAS
2011年第2期195-197,共3页
Medical Science Journal of Central South China
关键词
早产儿
湿肺
发生率
治疗
premature infants
transient tachypnea
incidence
treatment
