文档介绍：Case report
一例27岁孕妇,孕31周,胎膜早破26小时,产科医师请新生儿科会诊,怎么办?
1、保胎,继续妊娠?
2、终止妊娠,分娩?
Case report
新生儿科医师建议终止妊娠,提前分娩。娩出一男婴,体重1450克,生后2小时出现呼吸增快,呻吟。
1、患儿可能发生了什么问题?
2、怎么处理?
Neonatal respiratory diseases
NRDS:neonatal respiratory distress syndrome 新生儿呼吸窘迫综合症
HMD :hyaline membrane disease
肺透明膜病
1. Etiology and mechanism
Pulmonary surfactant( PS ) deficiency
肺表面活性物质缺乏
Premature infants
infants of diabetes mother
asphyxia
cesarean section
Sp-B deficiency
1. Etiology and mechanism
hypoxia、acidosis
↑permeability of capillary
Lung edema、exudation of plasma protein
hyaline membrane
2、manifestation distress in 6 hours after birth
tachypnea, dyspnea
groan(呻吟)、three depressions sing(吸凹)
cyanosis、decrease of breathing sound
respiratory feilure
progressive distress