Neonatal pulmonary hemorrhage symptoms?
summary
Neonatal pulmonary hemorrhage is a common type of neonatal severe pneumonia. Because of its dangerous onset, rapid progress and high mortality, neonatal pediatricians pay more attention to it. So, although it's an old problem, combined with the pulmonary hemorrhage patients I rescued over the years, neonatal pulmonary hemorrhage symptoms? Let's talk about it
Neonatal pulmonary hemorrhage symptoms?
General symptoms: poor response, pale complexion, cyanosis, hypothermia, cold limbs and other shock manifestations;
Respiratory system: dyspnea, apnea, three concave signs, etc;
Bleeding: half of the patients had bloody fluid, skin bleeding and ecchymosis;
matters needing attention
1. Heat preservation: the baby should be dried at birth to prevent excessive heat dissipation and keep the body temperature constant. 2. Oxygen supply: can give nasal catheter or oxygen mask oxygen. 3. Limit the amount of fluid and correct acidosis: the infusion volume is 60ml / (kg? D) to avoid aggravating pulmonary edema and inducing heart failure; 1.5% sodium bicarbonate was used to correct metabolic acidosis. 4. Correct abnormal coagulation mechanism, supplement blood volume: concentrate red blood cells. When DIC is combined, heparin can be given according to the state of blood coagulation. 5. Improve heart function: vasoactive drugs, such as dopamine and dobutamine, can be used when necessary cardiotonics and diuretics.