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[新生儿机械通气相关的肺部并发症]

[Pulmonary complications associated with mechanical ventilation in neonates].

作者信息

Torres-Castro Cristabel, Valle-Leal Jaime, Martínez-Limón Alba J, Lastra-Jiménez Zaira, Delgado-Bojórquez Lesvia Carmina

机构信息

Departamento de Pediatría del Hospital General Regional número uno del Instituto Mexicano del Seguro Social, Ciudad Obregón, Sonora, México.

Departamento de Pediatría del Hospital General Regional número uno del Instituto Mexicano del Seguro Social, Ciudad Obregón, Sonora, México.

出版信息

Bol Med Hosp Infant Mex. 2016 Sep-Oct;73(5):318-324. doi: 10.1016/j.bmhimx.2016.08.001. Epub 2016 Sep 20.

Abstract

BACKGROUND

To determine the incidence of0 associated with mechanical ventilation in patients admitted to a service in a second level hospital NICU.

METHODS

Retrospective analytical study records of newborns admitted to NICU room and receiving mechanical ventilation in a secondary hospital health care. Demographic data, of mechanical ventilation, intubation and complications reported in the clinical record were collected and analyzed in SPSS 20.

RESULTS

53 patients selected a total of 40 complications found. The annual incidence of pulmonary complications associated with mechanical ventilation in the area of service neonatology NICU, at a second level hospital at Sonora was 49.05% (95% CI 0.35 to 0.62). The most frequent pulmonary complications were atelectasis 35%, pneumonia 27.5%, pneumothorax 15%, bronchopulmonary dysplasia 15%, pneumomediastinum 15% and pulmonary hemorrhage 2.5%.

CONCLUSIONS

The presentation of pulmonary complications secondary to mechanical ventilation in neonatal patients is similar to that reported in developing countries. Atelectasis is the most common pulmonary complication in neonatal patients undergoing mechanical ventilation.

摘要

背景

确定二级医院新生儿重症监护病房(NICU)中与机械通气相关的0的发生率。

方法

回顾性分析研究在二级医院医疗保健机构中入住NICU病房并接受机械通气的新生儿记录。收集临床记录中报告的人口统计学数据、机械通气、插管和并发症情况,并在SPSS 20中进行分析。

结果

共选取53例患者,发现40例并发症。在索诺拉州一家二级医院的新生儿重症监护病房新生儿科服务区域,与机械通气相关的肺部并发症年发生率为49.05%(95%可信区间0.35至0.62)。最常见的肺部并发症为肺不张35%、肺炎27.5%、气胸15%、支气管肺发育不良15%、纵隔气肿15%和肺出血2.5%。

结论

新生儿患者机械通气继发肺部并发症的表现与发展中国家报告的情况相似。肺不张是接受机械通气的新生儿患者中最常见的肺部并发症。

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