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目的:分析比较足月儿湿肺临床特点及病情轻、重组的影响因素。方法:对吉林大学新生儿疾病诊治中心收治的足月儿湿肺患儿744例的基本资料、围产期因素、临床表现、辅助检查、治疗情况等进行回顾分析,并根据是否应用呼吸支持分为病情重组及病情轻组,分析比较影响病情轻、重的因素。结果:湿肺患儿以男性为主占67.1%,选择性剖宫产占61.8%,存在妊娠并发症者共447例占60.1%;入院呼吸频率≥60次/min 363例占48.8%,存在呼吸系统并发症者78例占10.5%。病情轻、重组间分娩方式、妊娠并发症、呼吸系统并发症及入院呼吸频率差异均有统计学意义(P<0.05)。结论:男性患儿、妊娠并发症、选择性剖宫产可能为湿肺发生的危险因素,妊娠并发症、选择性剖宫产、呼吸系统并发症可能为足月儿病情严重的危险因素,入院呼吸频率高可能为足月儿湿肺病情严重的预测因素。
OBJECTIVE: To analyze and compare the clinical features of mild-term wet lungs and the influencing factors of mild and severe disease. Methods: The basic data of 744 cases of full-term children with wet lung admitted to neonatology center of Jilin University were retrospectively analyzed, including the perinatal factors, clinical manifestations, auxiliary examinations and treatment. According to whether respiratory support For the reorganization of the disease and mild disease, analysis and comparison of the severity of light and heavy factors. Results: The prevalence of wet lungs was 67.1% for males, 61.8% for cesarean sections, 44.7% for pregnancy complications, and 36.8% for those with admission ≥ 60 beats / min 78 cases of respiratory complications accounted for 10.5%. The patients with mild disease, mode of delivery during pregnancy, complications of pregnancy, complications of respiratory system and respiration rate were all statistically significant (P <0.05). Conclusion: The incidence of wet lung in pregnant women, pregnancy complications and selective cesarean section may be the risk factors for wet lung disease. Pregnancy complications, selective cesarean section and respiratory complications may be the risk factors for term infants. Admission A high respiratory rate may be a severe predictor of term wet-lung conditions in term infants.