摘要
本文讨论100例新生儿吸入性肺炎的发病原因及临床特点。新生儿发病日龄均≤7d;89％有产科因素,其中因羊水污染(Ⅱ~0～Ⅲ~0)、胎儿宫内窘迫、胎盘钙化和剖宫产引起者与对照组相比差异显著(P<0.05),提示产科因素与发病关系密切。本组患儿临床表现不典型,常显示吐奶、口周发绀等非特异性症状,需摄X线胸片来协助诊断。本组多为轻或中度肺炎,经综合治疗均痊愈。本病重在预防。
This paper discusses the causes and clinical features of 100 cases of neonatal pneumonia. The onset of illness in all patients was within seven days after delivery, 89% of them had obstetric complications including meconium-stained fluid, fetal distress, placental calcification and by cesarean section etc. There was significant difference as compaired with the control group (P<0.05).It indicated that many obstetric factors might be the main cause of neonatal pneumonia. The patients of this group had no typical symptoms and signs. Most of them had cyanosis around the mouth and spitting milk. Chest film is necessary in helping the diagnosis. Most of our patients are mild or moderate type. All of the patients were cured by adequite warm preservation, oxygen supply and antibiotics etc. Perinatal supervisior and high quality on delivery must be stressed in reducing the morbidity of neonatal pneumonia and neonatal mortality.
关键词
新生儿
肺炎
产科因素
neonate
pneumonia
obstetric factors
