肺透明膜病与已治患儿血液检查结果分析

目的　探讨新生儿肺透明膜病放弃治疗患儿血液白细胞总数、血气分析及血清离子浓度变化 ,为临床及时抢救患儿提供有力的依据。方法　回顾性分析经临床及X线诊断证实的 2 2例新生儿肺透明膜病的血液检查结果 ,其中放弃治疗组患者 7例 ,治愈组患者 15例。结果　肺透明膜病放弃治疗组与治愈组患儿血液检查结果均是 :高钾、高二氧化碳分压和白细胞总数增高 ,pH值降低、低氧分压和低剩余碱 ,但两组结果比较无显著性差异。结论　血气分析和血清钾离子分析是新生儿肺透明膜病实验室辅助诊断的主要方法 ,肺透明膜病患儿父母不应向医生提出放弃治疗患儿要求。

ANALYSIS ON THE BLOOD EXAMINATION OF NEWBORN WITH PHMD

Objective To provide the evidence for in-time clinic treatment by studying the results of the blood gas, the number of WBC, the ion concentration in serum of newborn with hyaline membrane disease. Methods Retrospective study was used to analyze the blood assay results of 22 patients with hyaline membrane disease confirmed by clinical and X-ray diagnosis. In these patients, 7 patients' parents gave up and 15 were cured. Results From the samples of 22 patients, the results demonstrated that the pH, PO 2 and BE were low and WBC, PCO 2, K + were higher, but there was no significant difference between the giving up group and the cured group. Conclusion It is the main method for blood gas and ion analysis to diagnose hyaline membrane disease in newborn. From the analysis, the parents of the newborns with PHMD should not be suggested to give up the treatment.