重庆医学2017，Vol.46Issue(10)：1355-1357,3.DOI:10.3969/j.issn.1671-8348.2017.10.018
58例新生儿先天性膈疝围术期监护
Perioperative intensive care of neonatal congenital diaphragmatic hernia in 58 cases
杨鸣 1白科 1符跃强 1党红星 1刘成军 1方芳1
作者信息
- 1. 重庆医科大学附属儿童医院重症医学科/儿童发育疾病研究教育部重点实验室/儿科学重庆市重点实验室/重庆市儿童发育重大疾病诊治与预防国际科技合作基地 400014
- 折叠
摘要
Abstract
Objective To summarize the experiences of perioperative intensive care of neonatal congenital diaphragmatic hernia(CDH) in our hospital during six years.Methods The clinical data of 58 CDH cases in our hospital from January 2010 to April 2016 were collected and retrospectively analyzed.All patients were divided into the treatment group(n=39) and giving up group (n=19) according to whether conducting surgery.The treatment group was divided into the severe group(A) and non-severe group (B) according to whether suffering from respiratory distress within 6 h after born.Results The time from operation to admission was (38.07±18.78) h in the group A and (21.10±5.46) h in the group B,the median of ICU monitoring time was 5(2.00,9.50) d in the group A and 2(1.00,2.25)d in the group B(P＜0.05).The median of postoperative mechanical ventilation time was 34 (19.5,42.5) h in the group A and 23(16.5,39.5)h in the group B,the average hospitalization time was (16.76±5.99)d in the group A and (15.40± 2.17) d in the group B,the difference was not statitically significant (P＞0.05);19 cases (giving up group) had no operation and gave up the operative treatment within 3 d after admission,and 5 cases died in hospital.39 cases in the treatment group were operated without death case.Conclusion CDH is one of neonatal critical diseases.Strengthening the perioperative intensive care is the key to improve the survival rates of CDH.关键词
疝,横膈/先天性/围术期/监护/婴儿,新生Key words
hernia, diaphragmatic/congenital/perioperative/intensive care/infant, newborn分类
医药卫生引用本文复制引用
杨鸣,白科,符跃强,党红星,刘成军,方芳..58例新生儿先天性膈疝围术期监护[J].重庆医学,2017,46(10):1355-1357,3.
