【摘要】 目的:探讨新生儿肺出血(neonatology pneumorrhagia,NPH)的相关高危因素,提高抢救成功率。方法:选自本院新生儿室2003年4月～2010年8月收治的26例肺出血患儿进行回顾性研究,纳入调查的因素包括性别、胎龄、出生体重、发病时间、原发疾病、临床表现、症状体征、凝血功能及X线表现,并对相关因素进行分析。结果:胎龄28～36周19例(73.1%),体重低于正常儿合计为22例(84.6%),发病时间在出生后1d14例(53.8%),4～7d9例(34.6%),围生期窒息8例(30.8%)。结论:早产、低体重是生理性高危因素,病理性高危因素主要是围生期窒息、肺部感染、败血症、肺透明膜病、寒冷损伤综合征,且出生后第1天和第1周末为本病的两个发病高峰。更多还原

【Abstract】 Objective:To explore related High-Risk factors of neonatal pulmonary hemorrhage,for improving the survival rate.Methods:Selected 26 cases with NPH admitted to our neonatal room from April 2003 to August 2010,and studied retrospectively.The factors being investigated included gender,gestational age,birth weight,time of onset,primary diseases,clinical manifestations,symptoms and signs,coagulation function and X-ray.And analyzed these factors.Results:Gestational ages of 19 cases(73.1%) were 28-36 weeks,low birth weight infants were 22 cases(84.6%),14 cases(53.8%)happened on the first day since their birth,9 cases(34.6%) between 4-7 d.8 cases(30.8%)of children suffered from perinatal asphyxia.Conclusion:Premature birth and low birth weight are physiological high-risk factors,Pathological risk factors were perinatal asphyxia,pulmonary infection,sepsis,HMD,cold injury syndrome.The first day and the first weekend since their birth are two incidence peaks of this disease.更多还原