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頁籤選單縮合
題名 | 新生兒使用呼吸器的併發症: 一年的經驗 |
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作者姓名(中文) | 王金川; | 書刊名 | 中華民國小兒科醫學會雜誌 |
卷期 | 32:4 民80.07-08 |
頁次 | 頁227-232 |
分類號 | 417.517 |
關鍵詞 | 併發症; 呼吸器; 新生兒; |
語文 | 中文(Chinese) |
中文摘要 | 著者回顧馬偕醫院小兒科新生兒加護病房,自1985年7月起至1986年6月一年間。共有175例新生兒使用過呼吸器,其中有31.9%(52例)在使用過程中發生併發症。併發症的種類以氣壓傷(barotraumas)最多佔56.9%,另外出現慢性肺病變(chronic lung clisease)的病嬰則有13.8%。我們發現出現併發症的病嬰其存活率並不會比沒有出現併發症的低。然而他們的總住院日數,使用氧氣時數以及使用人工呼吸器的時數則比未發生併發症者有顯著的增加。出生體重愈低者出現慢性肺病變的比率也愈大。 |
英文摘要 | A retrospective study was undertaken of 175 patients (119 males, 56 females) admitted to the neonatal intensive care unit of Mackay Memorial Hospital during the period of July 1,1985 to June 30, 1986 who received mechanical ventilation during their stay at the hospital. Upon reviewing the clinical histories of these patients, the complication rate of mechanical ventilation was 31.9%. The percentages of each complication were: pneumothorax 50.0%, pneumomediastinum 5.2%, pulmonary interstitial emphysema 1.7%, atelectasia 13.8%, pneumonia 13.8%, chronic lung disease 13.8%, nasopharyngeal infection 1.7%. Survival rate of these ventilated patients with or without complication was not significant statistically (69.2% vs 65.6%). However, with regard to the hospital course, cases with complication had a significantly longer duration of ventilator usage, hospital stay and oxygen usage than uncomplicated cases. In conclusion, experienced personnel are needed to supervise the use of mechanical ventilation in neonates, and a team of well- trained nurses working in the neonatal intensive care unit are essential to minimize complications. |
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