Is neonatal wet lung serious?

summary

Neonatal wet lung is not serious, the prognosis is good. The newborn wet lung mostly appears shortness of breath within 1 day after birth, sometimes accompanied by cyanosis and groan, and the symptoms do not last long. Maternal do not use excessive sedative drugs, limit unnecessary cesarean section can effectively prevent neonatal wet lung. Is neonatal wet lung serious? Let's talk about it

Is neonatal wet lung serious?

Most of the children were full-term infants, most of them had respiratory acceleration (> 60 beats / min) within 6 hours after birth. The symptoms lasted only 12-24 hours. The symptoms were low and weak crying, cyanosis, mild groan, nasal alar movement, three concave sign and rapid breathing (more than 100 times per minute).

There were not many positive signs in the lung. There were decreased breath sounds and rough moist rales in auscultation, and PaO2 decreased slightly. Vomiting was seen in some cases. PaCO2 rise and acidosis were not common. More in the normal range, more severe can appear respiratory acidosis and metabolic acidosis.

Pulmonary interstitial effusion can be seen in the blood vessels and bronchioles around the widened strip shadow. The increase of interstitial fluid leads to the increase of lymphatic and venous transport, resulting in lymphatic and venous dilatation.

matters needing attention

Pregnant women should not use excessive sedative drugs. Unnecessary cesarean section should be limited. Position drainage can be done in time when necessary. Attention should be paid to avoid prolonged labor process, placenta or umbilical cord affecting fetal blood circulation, resulting in fetal intrauterine hypoxia, stimulating fetal respiratory center excitation, wheezing like breathing, resulting in amniotic fluid or meconium inhalation.