新生儿硬肿症的高危因素分析

１９８５－１９９３年我院儿科收治新生儿硬肿症１１９例，存活６５例，自动出院９例，死亡４５例．经统计学分析认为该病发病的高危因素依次为：环境温度低、体温低、出生体重低、围产期异常、早产、感染。经存活组与死亡组对比分析认为该病死亡的高危因素依次为：呼吸衰竭（主要是肺出血引起）、ＤＩＣ、硬肿面积大、心脏损害、颅内出血、重要脏器先天畸形、肾损害、休克、低钠血症、酸中毒。

A clinical analysis of high risk factors in infants with sclerema neonatorum

one hundred nineteen infants with sclerema neonatorum were treated from 1985 to 1993 with results of recovered 65,died 45,and voluntarily left 9 from hospital asked by the infants'parents.Statistical analysis of pathogenetic factors showed that high risky and morbid factors orderly are:Overlow temperature environment the infants lived in,low body temperature,low body weight at birth,abnormalities during perinatal period,premature birth,and infection,Compered living group with died group,it was demonstrated that high dangerous and mortal factors separately are:Respiratery failure,especially cased by pulmonary hemorrhage,DIC, large area of sclerema,heart lesions,intracrenial hemorrhage,congenital abnormalities of inportant viscera,kidney lesions,shook,hyponatremia,and acidosis.