How should pharyngeal syndrome be treated?

summary

Hypopharyngeal syndrome refers to neonatal vomiting caused by excessive ingestion of amniotic fluid, maternal blood or vaginal mucus secretion contaminated by meconium or bacteria during delivery, which stimulates gastric mucosa and leads to excessive gastric acid and mucus secretion. How should pharyngeal syndrome be treated? Let's talk about it

How should pharyngeal syndrome be treated?

Generally do not need treatment, vomiting should pay attention to let children lie on the side, in order to avoid inhalation. After swallowing the liquid and spitting it out, it will heal in 1 to 2 days. Light need temporary fasting, give support treatment, until 1 to 2 days after vomiting clean can self-healing, and then timely breast-feeding, the child's health will not be greatly affected.

1% sodium bicarbonate solution can be used for gastric lavage. The disorder of water and electrolyte should be corrected and rehydrated properly. Treatment method and therapeutic effect: take 12 ml of 5% sodium bicarbonate solution and 18 ml of normal saline to prepare 0 ml of 2% sodium bicarbonate solution, use a syringe to suck up the contents of the stomach through the inserted gastric tube, inject 10 ml of 2% sodium bicarbonate solution, keep it for 2 to 10 minutes, suck out the liquid, and then repeatedly lavage until the eluent is clear. Gastric lavage should be stopped once within 12 hours after vomiting. If vomiting still occurs, gastric lavage should be performed once more.

If there is meconium or brown in the vomit, you must fast, support treatment and symptomatic treatment. In general, domperidone is given 0.5 mg / kg per time, once a day, which is beneficial to gastric emptying by increasing gastric peristalsis, promoting the stop of vomiting and eating as soon as possible. However, for neonatal hypopharyngeal syndrome with moderate to severe contamination of the amniotic fluid, the effect of domperidone alone is poor, and it needs gastric lavage to play its curative effect.

matters needing attention

We should do a good job in perinatal health care, prevent dystocia, intrauterine asphyxia and overdue labor, and improve the level of delivery technology. Strengthen basic nursing, prevent complications, strengthen oral care, keep the navel and skin clean and dry, pay attention to keep warm, timely remove respiratory secretions, prevent swallowing too much amniotic fluid, and keep the respiratory tract unobstructed. Generally, the prognosis is good. However, attention should be paid to prevent asphyxia caused by vomit inhalation.