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自1995年9月以来,采用鼻塞法持续正压给氧(CPAP),并经CPAP管道推注肾上腺素,治疗新生儿肺出血9例,获得满意疗效,现总结如下。1 临床资料1．1 一般资料9例中男6例,女3例。日龄:~2天2例,~3天3例,~6天2例,~9天2例。孕周:33~36周4例,~40周5例。出生体重:2100~2500克3例,~3000克2例,~3500克4例。原发病:硬肿症Ⅱ度、感染性肺炎、窒息并吸入性肺炎各2例,肺透明膜病、败血症、硬肿症Ⅲ度并DIC各1例。肺出血诊断依据:除原发病表现外,均有明显的呼吸窘迫、三凹症、青紫,迅速出现双肺广泛的中小湿啰音或中小湿啰音明显增多,随之口鼻流出甚至喷出浆液性血液和(或)鲜血。1．2 治疗方法患儿发生肺出血后均立即清理呼吸道,尽早采用CPAP-1型氧疗器进行鼻塞CPAP治疗,吸入气氧浓度的调
Since September 1995, continuous nasal occlusion with positive pressure oxygen (CPAP), and CPAP pipeline injection of epinephrine, neonatal pulmonary hemorrhage in 9 cases, to obtain satisfactory results, are summarized as follows. 1 Clinical data 1.1 General Information 9 cases of 6 males and 3 females. Age: 2 cases ~ 2 days, 3 cases ~ 3 days, 2 cases ~ 6 days and 2 cases ~ 9 days. Gestational weeks: 33 cases of 36 weeks in 4 cases, ~ 40 weeks in 5 cases. Birth weight: 2100 ~ 2500 grams in 3 cases, ~ 3000 grams in 2 cases, ~ 3500 grams in 4 cases. Primary disease: sclerosis Ⅱ degree, infectious pneumonia, asphyxia and aspiration pneumonia in 2 cases, hyaline membrane disease, sepsis, sclerosis Ⅲ degree and DIC in 1 case. Pulmonary hemorrhage diagnosis based on: In addition to the performance of the primary disease, there are obvious respiratory distress, three concave, bruising, rapid lungs appear rapidly in a wide range of small and medium-sized wet rales or small wet rales increased significantly, along with the nose and mouth out even spray Out of serous blood and (or) blood. 1.2 Treatment of children with pulmonary hemorrhage immediately after the clean-up of the respiratory tract as soon as possible by CPAP-1-type oxygen device for nasal CPAP treatment, inhalation of oxygen and oxygen concentration