新生儿呼吸窘迫综合征的护理

目的：总结新生儿呼吸窘迫综合征（NRDS）的临床护理经验。方法：对我院新生儿科收治的84例NRDS患儿进行护理分析，探讨切实有效的护理方法和措施。结果：除24例因妊周短、体重轻、病情重并有严重的并发症死亡外，余60例均治愈出院。结论：NRDS是新生儿尤其是早产儿危重疾病，病死率高。保持呼吸道通畅；采取正确的氧疗；尤其在机械通气过程中，加强呼吸道的管理及防止感染并发症的发生，配合早期、足量的应用肺泡表面活性物质可提高NRDS患儿的生存质量。

Nursing Care of Neonatal Respiratory Disease Syndrome

Objectives To summarize the experience of clinical nursing neonatal respiratory diseaes syndrome (NRDS). Methods: To summarize the practical and effective nursing managements for NRDS, we analyzed and compared nursing experience about the one hundred NRDS cases in our ward during January 2001 to February 2004. Results: Among the one hundred NRDS cases, sixty neonates recovered, sixteen gave up treating, and the rest infants died because of too early prematurity, extremely low birth weight, and/or severe complications. Conclusions NRDS is one of the severe diseases emerged in neonates, especially in preterm babies, with high mortality. Nursing neonates with RDS, it is important for us to observe them intensively, to keep their airway patent and to supply with appropriate concentration oxygen. Furthermore, it is essential for us to strengthen management of ventilators with skilled operation in order to prevent ventilator-related infection and other complications, which is critical for recovery. On the other hand, it is important to use enough dose of surfactant as early as possible when rescuing NRDS babies.