【摘要】 目的 :探讨新生儿胎粪吸入综合征 (MAS)的临床分型与治疗的关系。方法 :对 186例MAS患儿临床资料进行回顾性分析 ,根据临床症状、体征及辅助检查结果 ,将MAS患儿分为无症状型、普通型、急性呼吸窘迫综合征 (ARDS)型、肺动脉高压 (PPHN)型及肺出血型等 5种临床类型 ;根据病情严重程度分为轻型、重型和极重型等 3种临床类型。结果 :在 186例MAS患儿中 ,普通型、无症状型、PPHN型、肺出血型及ARDS型病例数分别为 133例 ( 71 5% )、2 8例 ( 15 1% )、13例 ( 7 0 % )、7例 ( 3 8% )及 5例 ( 2 7% ) ;轻型 10 9例 ( 58 6% )、重型 4 6例 ( 2 4 7% )和极重型 31例 ( 16 7% )。最后 ,158例 ( 84 9% )治愈 ,15例 ( 8 1% )好转 ,13例 ( 7 0 % )死亡。结论 :MAS的临床分型对于指导治疗和判断预后具有重要意义。更多还原

【Abstract】 Aim: To study clinical type and treatment of meconium aspiration syndrome (MAS) in neonates. Methods: According to their symptoms and signs, results of chest radiograph and doppler ultrasonic echocardiograph 186 neonates with MAS were grouped under five clinical types, namely asymptomatic type, normal type, acute respiratory distress syndrome (ARDS) type, persistent pulmonary hypertension of the newborn(PPHN) type and pulmonary hemorrhage type. All the cases were grouped mild type, severe type and risky type according to the degree of the disease. Results: Cases of normal type, asymptomatic type, PPHN type,pulmonary hemorrhage type and ARDS type were 133 cases(71.5%),28 cases(15.1%),13 cases(7.0%),7 cases(3.8%)and 5 cases(2.7%)respectively , and in all cans there were 109 cases(58.6%),46 cases(24.7%) and 31 cases(16.7%) in mild type, severe type and risky type respectively. In 186 cases, 158 babies were cured, 15 babies improved, and 13 babies died finally. Conclusion: Clinical types of MAS may be important in instructing treatments and judging prognosis. [更多还原