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通过对新生儿休克的临床分析,发现新生儿休克的特点,更好的指导早期诊断、治疗及预后,乃对1997年1月～2002年4月125例新生儿休克进行临床回顾性分析。结果显示:休克发生于0～3天99例,占79.2％,3～7天13例,占10.4％,7～28天13例,占10.4％。心源性休克88例,占70.4％,低血容量性休克67例,占53.6％,其中上述两种休克同时存在的43例,占34.4％;感染性休克13例,占10.4％,无过敏性休克。有85.6％的患儿存在呼吸系统症状,应用呼吸支持117例,占93.6％。治愈93例,治愈率74.4％,死亡8例,病死率6.4％。合并胃肠功能障碍73例,继发ARDS29例,继发支气管肺发育不良4例,继发肾功能不全2例。不难看出:新生儿休克多发生于新生儿早期,以心源性休克最多见,其次为低血容量性休克,但应注意上述两种休克常同时存在,只要给予及时有效的治疗,特别是呼吸支持,预后良好。
Through the clinical analysis of neonatal shock and found that the characteristics of neonatal shock, and better guide the early diagnosis, treatment and prognosis, is a clinical retrospective analysis of 125 cases of neonatal shock from January 1997 to April 2002. The results showed that shock occurred in 0 to 3 days, 99 cases, accounting for 79.2%, 3-7 days 13 cases, accounting for 10.4%, 7 to 28 days in 13 cases, accounting for 10.4%. Cardiac shock in 88 cases, accounting for 70.4%, hypovolemic shock in 67 cases, accounting for 53.6%, of which 43.7% of the above two shocks simultaneously, accounting for 34.4%; septic shock in 13 cases, accounting for 10.4%, no allergies Sexual shock. Respiratory symptoms were present in 85.6% of the children, and respiratory support was used in 117 cases (93.6%). 93 cases were cured, the cure rate was 74.4%, 8 died and the case fatality rate was 6.4%. 73 patients with gastrointestinal dysfunction, secondary to ARDS in 29 cases, secondary bronchopulmonary dysplasia in 4 cases, secondary renal insufficiency in 2 cases. It is not difficult to see: neonatal shock occurred in early neonatal cardiopulmonary shock most common, followed by hypovolemic shock, but should be noted that the two shocks often exist, as long as timely and effective treatment, especially in Breathing support, good prognosis.