徐晓妮 王亚萍 王卫华 张苏红

    [摘要] 目的 探討早期输液量对晚期早产儿重症湿肺预后的影响情况。 方法 回顾性分析2013年10月～2015年10月陕西省咸阳市第一人民医院儿科136例早产儿重症湿肺患儿的临床资料，依据输液量不同进行分组：A组66例，输液量为 0.05)。输液后A组患儿透光度减低或叶间积液加重比例(9.1%)低于输液前(50.0%)，呼吸支持时间[(73.8±10.9)h]高于输液前[(51.5±9.4)h]，差异均有统计学意义(χ2 = 40.18、t = 12.59，均P 0.05]。A组和B组患儿家属满意度比较，差异无统计学意义(95.5%比94.3%，χ2 = 0.15，P > 0.05)，B组患儿住院时间长于A组[(15.6±6.5)比(9.5±4.0)d]，并发症发生率均高于A组(77.1%比39.4%)，差异均有统计学意义(t = 6.54、χ2 = 29.22，均P 0.05). The ratio of light transmittance reducing or effusion aggravating of group A after infusion (9.1%) were lower than before infusion (50.0%)， respiratory support time [(73.8±10.9) h] was higher than before infusion [(51.5±9.4) h]， the differences were statistically significant (χ2 = 40.18， t = 12.59， all P 0.05]， satisfaction of children's families of group A and group B had no statistically significant difference (95.5% vs 94.3%， χ2 = 0.15， P > 0.05)； length of hospital stay of group B was higher than that of the group A [(15.6±6.5) vs (9.5±4.0) d] ......