印度恰蒂斯加尔邦新生儿呼吸窘迫的临床概况

阿希 什·¹, 普拉 迪普¹, 古鲁 维拉¹, 米特 什·¹, 甘帕 特¹, 拉维 ·潘¹, 布山 ·卡², 希塔 夫·³, 阿克 谢·⁴
1、贾瓦哈拉尔·尼赫鲁医院和研究中心儿科
2、贾瓦哈拉尔·尼赫鲁医院和研究中心放射科
3、孟买 KJ Somaiya 物理治疗学院神经物理治疗系
4、瓦桑特拉奥帕瓦尔医学院和医院儿科系

摘要

本研究是一项基于医院的观察性研究，纳入了100名II级新生儿重症监护病房（NICU）。该研究旨在评估在最终诊断，
死亡率和治疗干预方面对发病，持续时间，氧气需求和结果的严重痛苦的发展。在这100例病例中，90%的病例是呼吸道起
源的。呼吸窘迫的最常见原因是新生儿短暂性呼吸急促，其次是胎粪吸入综合征和新生儿呼吸窘迫综合征。新生儿出生6小
时后呼吸窘迫的发作和呼吸窘迫>持续时间为24小时，具有严重的呼吸窘迫。具有高孕产妇年龄、初孕、>4 PV检查、胎粪
染色酒和社会经济阶层较低的危险因素的新生儿出现严重的呼吸窘迫。呼吸窘迫严重程度与分娩方式，1分钟时阿普加评分
<7，婴儿胎龄，出生体重和新生儿性别没有统计学上的显着相关性。只有患有RDS和MAS的新生儿才需要呼吸机护理。其
中两名RDS患者只需要表面活性剂治疗，而另外两名患者需要表面活性剂和呼吸机支持。在100名患有呼吸窘迫的新生儿中，
死亡率为5名新生儿（5%），其中包括2名呼吸窘迫综合征和3名胎粪吸入综合征。

关键词

呼吸窘迫综合征；新生儿；海拉林膜病；MAS

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