摘要
新生儿肺出血,是新生儿期常见的致死原因,治疗上,近数年来国外罕有报导,国内张氏及韩氏分别采用机械通气,挽救了部分患儿。我们于1989年11月~1990年5月采用机械通气治疗新生儿危急病例合并肺出血32例,
This paper reports the mechanical ventilation for 32 cases of massive pulmonary hemorrhage in high-risk neonate.It was demonstrated that the continusus positive-pressure ventilation (CPPV) was much better than continuous positive airway pressure (CPAP) in treating underlying illness and controlling hemorrhage into the lungs, the cure rate taking CPPV before bleeding was higher than after bleeding.We suggest that the CPPV would be taken immediately in hige-risk infant with type Ⅰ respiratory failure (PaO_2≤4.5 kPa) and in preventing and treating tne hemorrhage into the lungs, it is very important, especially complicates by hypothermia (rectal temperature≤ 30℃) and/or acidosis (pH≤7.15) before bleeding.
出处
《广东医学》
CAS
CSCD
1991年第2期12-14,共3页
Guangdong Medical Journal