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目的 探讨导致新生儿呼吸衰竭 (呼衰 )的发生以及死亡的常见病。方法 对近 9年来收治的 196例新生儿呼衰 ,从不同的原发病以及分娩方式、胎龄及日龄与呼衰的发生及预后进行分组对比。结果 发现以窒息、严重的吸入及缺血缺氧性脑病 (HIE)引起呼衰的发生率较高 ,分别占呼衰病人的 18.88%、11.73%及 17.35 % ;其次旧法接生、早产儿及发病日龄≤ 7天的 ,呼衰的病死率分别为 34 .72 %、2 3.2 8%及 19.2 % ,高于新法接生、足月儿及发病日龄≥ 7天的。结论 选择合适的分娩方式、降低窒息的发生率及加强早产儿的护理是降低新生儿死亡率的关键。
Objective To explore the common diseases that cause the occurrence of respiratory failure (respiratory failure) and death of neonates. Methods 196 cases of neonatal respiratory failure admitted to the past nine years, from the different primary disease and mode of delivery, gestational age and age and the occurrence and prognosis of respiratory failure were grouped. The results showed that asphyxia, severe inhalation and hypoxic-ischemic encephalopathy (HIE) caused a higher incidence of respiratory failure, accounting for 18.88%, 11.73% and 17.35% of patients with respiratory failure; followed by the old method of birth, premature children and the incidence Mortality ≤ 7 days, respiratory failure were 34.72%, 2 3.2 8% and 19.2%, higher than the new law delivery, term infants and onset of age ≥ 7 days. Conclusion The key to reducing neonatal mortality is to choose the appropriate mode of delivery, reduce the incidence of asphyxia and strengthen the care of premature infants.