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固尔苏治疗新生儿呼吸窘迫综合征死亡分析
引用本文:王欲琦,张彬,邱菊,李俊玲.固尔苏治疗新生儿呼吸窘迫综合征死亡分析[J].河北职工医学院学报,2010,27(3):22-23.
作者姓名:王欲琦  张彬  邱菊  李俊玲
作者单位:保定市妇幼保健院,河北,保定,071000
摘    要:目的分析固尔苏治疗新生儿呼吸窘迫综合征(NRDS)死亡原因。方法使用固尔苏和nCPAP或者机械通气治疗新生儿呼吸窘迫综合征。结果 33例患儿中,死亡8例,死亡原因需要使用第2剂固尔苏1例,剂量不足6例,肺出血3例,其中单一原因6例,双原因2例,均合并剂量不足和肺出血。8例体重均≤2.5kg,均为早产儿,胎龄≤32周。结论与体重相比,胎龄对预后影响更大,胎龄≤32周病死率高。低出生体重儿特别是极低出生体重早产儿,使用肺表面活性物质(PS)时,剂量一定要充足,否则病死率高。

关 键 词:肺表面活性物质  婴儿  新生  呼吸窘迫综合征

Death analysis of pulmonary surfactant treatment in infants with respiratory distress syndrome
Wang Yuqi,Zhang Bin,Qiu Ju,et al..Death analysis of pulmonary surfactant treatment in infants with respiratory distress syndrome[J].Journal of Hebei Medical College for Continuing Education,2010,27(3):22-23.
Authors:Wang Yuqi  Zhang Bin  Qiu Ju  
Institution:Wang Yuqi,Zhang Bin,Qiu Ju,et al. (Maternity and Child Health Hospital of Baoding City,Baoding 071000,China)
Abstract:Objective To analyze death reasons of surfactant therapy with neonatal respiratory distress syndrome (NRDS). Methods Infants with NRDS were treated with pulmonary surfactant (PS) and nCPAP or mechanical ventilation. Results 33 infants were used PS, 8 from them died of lack of another dose, deficiency dose and pneumorrhagia. They were all premature infants of under 32 weeks of gestation. Conclusion Comparing with weight, gestational age influence prognosis more.
Keywords:pulmonary surfactant  infant  newborn  respiratory distress syndrome  
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