一个基于新生儿持续机械通风的基于人口的评估
1Department of Paediatrics, King's Mill Hospital, Sutton-in-Ashfield, Nottinghamshire.
Lancet (London, England)
|November 28, 1987
概括
在28名婴儿中使用了持续辅助呼吸,其中10名婴儿患有肺胸炎等并发症. 长期结果显示了一些幸存者的残疾,突出了新生儿机械通风的风险.
科学领域:
- 新生儿护理 新生儿护理
- 儿科呼吸系统医学 儿科呼吸系统医学
- 关键的护理关键的护理
背景情况:
- 呼吸衰竭是新生儿的危急病.
- 机械通风是一种挽救生命的干预措施,但存在风险.
- 了解辅助通风的长期影响对于新生儿的结果至关重要.
研究的目的:
- 在一个定义的新生儿群体中调查持续辅助通风的范围和影响.
- 评估呼吸衰竭的发生率和机械通风的使用情况.
- 评估需要长时间机械通风的婴儿的短期和长期结果.
主要方法:
- 对 11,061 个地理定义的出生进行了回顾性队列研究.
- 对需要超过8小时辅助呼吸的婴儿进行分析.
- 在学龄期对幸存者的后续评估.
主要成果:
- 28名婴儿 (0.25%) 接受了超过8小时的辅助呼吸.
- 10名婴儿 (36%) 患有肺胸病,其中9人死亡或残疾.
- 在14名上学年龄的幸存者中,有4人患有持续的残疾;10人中被认为正常的5人有紧急通风.
结论:
- 新生儿持续辅助呼吸与显著的发病率和死亡率有关.
- 肺胸炎等并发症是常见的和严重的.
- 长期的神经发育结果需要对长期机械通风的幸存者进行仔细监测.
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