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| 新生儿胎粪吸入综合征的临床分型与治疗 | |
| 引用本文： | 周晓光,周宇,肖昕.新生儿胎粪吸入综合征的临床分型与治疗[J].暨南大学学报,2000,21(4):63-67. |
| 作者姓名： | 周晓光 周宇 肖昕 |
| 作者单位： | 1. 广东省妇幼保健院新生儿科,广东省新生儿护理抢救中心,广东,广州,510010 2. 广东省番禺市何贤纪念医院儿科,广东,番禺,511400 3. 暨南大学医学院第一附属医院儿科,广东,广州,510630 |
| 摘 要： | 目的：探讨新生儿胎粪吸入综合征（ＭＡＳ）的临床分型与治疗的关系。方法：对１８６例ＭＡＳ患儿临床资料进行回顾性分析，根据临床症状、体征及辅助检查结果，将ＭＡＳ患儿分为无症状型、普通型、急性呼吸窘迫综合征（ＡＲＤＳ）型、肺动脉高压（ＰＰＨＮ）型及肺出血型等５种临床类型；根据病情严重程度分为轻型、重型和极重型等３种临床类型。结果：在１８６例ＭＡＳ患儿中，普通型、无症状型、ＰＰＨＮ型、肺出血型及ＡＲＤＳ型 |
| 关 键 词： | 胎粪吸入综合征 临床分型 新生儿 治疗 无症状型 |
| 文章编号： | 1000-9965(2000)04-0063-05 |
| 修稿时间： | 1999-12-10 |
Clinical type and treatment of meconium aspiration syndrome in the newborn infants |
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| ZHOU Xiao-guang,ZHOU Yu,XIAO Xin.Clinical type and treatment of meconium aspiration syndrome in the newborn infants[J].Journal of Jinan University(Natural Science & Medicine Edition),2000,21(4):63-67. | |
| Authors: | ZHOU Xiao-guang ZHOU Yu XIAO Xin |
| Institution: | ZHOU Xiao-guang ;(Dept.of Neonatology,Maternal and Child Health Hospital of Guangdong Province,Guangzhou 510010,China);ZHOU Yu ;(Dept.of Pediatrics,He Xian Hospital of Panyu,Panyu 511400,China);XIAO Xin ;(Dept.of Pediatrics,First Affiliated Hospital,of JNUMC,Guangzhou 510630,China) |
| Abstract: | Aim: To study clinical type and treatment of meconium aspiration syndrome (MAS) in neonates. Methods: According to their symptoms and signs, results of chest radiograph and doppler ultrasonic echocardiograph 186 neonates with MAS were grouped under five clinical types, namely asymptomatic type, normal type, acute respiratory distress syndrome (ARDS) type, persistent pulmonary hypertension of the newborn(PPHN) type and pulmonary hemorrhage type. All the cases were grouped mild type, severe type and risky type according to the degree of the disease. Results: Cases of normal type, asymptomatic type, PPHN type,pulmonary hemorrhage type and ARDS type were 133 cases(71.5%),28 cases(15.1%),13 cases(7.0%),7 cases(3.8%)and 5 cases(2.7%)respectively , and in all cans there were 109 cases(58.6%),46 cases(24.7%) and 31 cases(16.7%) in mild type, severe type and risky type respectively. In 186 cases, 158 babies were cured, 15 babies improved, and 13 babies died finally. Conclusion: Clinical types of MAS may be important in instructing treatments and judging prognosis. |
| Keywords: | meconium aspiration syndrome clinical type newborn infant |
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