最近审阅: 30 十月 2020
最近更新: 02 一月 2019

小结

定义

病史和体格检查

关键诊断因素

  • 存在的危险因素
  • 过期产体征
  • 呼吸急促
  • 发绀
  • 收缩期杂音
  • 胸壁不对称伴气流减少
  • 桶状胸

其他诊断因素

  • 呻吟
  • 吸凹
  • 啰音
  • 干啰音
  • 心动过速
  • 低血压

危险因素

  • 孕周>42 周
  • 孕妇高血压、子痫前期、子痫、吸烟和药物滥用史
  • 胎儿窘迫
  • 羊水过少
  • 大量胎粪
  • 阿普伽评分<7
  • 绒毛膜羊膜炎
  • 剖宫产
  • 黑人或东亚血统
  • 男性

诊断性检查

首要检查

  • 胸部 X 线检查 (CXR)
  • 全血细胞计数 (FBC)
  • C 反应蛋白 (CRP)
  • 血液培养
更多 首要检查

需考虑的检查

  • 双侧脉搏氧饱和度
  • ABG(pH、PaO₂、PaCO₂)
  • 超声心动图
  • 头颅超声
  • 脑电图检查
  • 尿液分析
更多 需考虑的检查

治疗流程

撰稿人

Dharmapuri Vidyasagar

Professor Emeritus

Department of Pediatrics

University of Illinois at Chicago

Chicago

IL

Visiting Professor

Department of Neonatology

Sri Ramachandra Medical College

Chennai

India

利益声明

DV is an author of a number of references cited in this monograph.

Professor of Pediatrics

Department of Pediatrics

University of Illinois at Chicago

Chicago

IL

利益声明

RB is an author of a reference cited in this monograph.

同行评议者展开全部内容

Medical Instructor

Department of Pediatrics

Division of Neonatology

Duke University

Durham

NC

利益声明

JW declares that he has no competing interests.

Professor

Retired Consultant Neonatologist

Royal Maternity Hospital

Honorary Professor

Department of Child Health

Queen's University Belfast

Belfast

UK

利益声明

HLH declares that he has no competing interests.

Clinical Senior Lecturer

Obstetrics

Gynaecology and Neonatology

Royal North Shore Hospital and The University of Sydney

Sydney

Australia

利益声明

JS declares that he has no competing interests.

内容使用需遵循免责声明