Early symptoms of neonatal pneumonia

summary

Neonatal pneumonia can be divided into aspiration pneumonia and infectious pneumonia according to different causes. The former can be divided into amniotic fluid aspiration pneumonia, meconium aspiration pneumonia and milk aspiration pneumonia. What are the early symptoms of neonatal pneumonia? Next, I'd like to share my views with you.

Early symptoms of neonatal pneumonia

The severity of meconium aspiration pneumonia is related to the nature (thin or thick) and amount of amniotic fluid inhaled. Clinical symptoms can range from mild dyspnea to severe respiratory distress. After resuscitation, the newborn appeared shallow and fast breathing (> 60 times / min), nasal fan, three concave sign, groan and cyanosis,

Chest protuberance was barrel shaped, with coarse moist rales in both lungs at the early stage and fine moist rales later. The above symptoms and signs were more obvious 12-24 hours after birth. When complicated with pneumothorax or mediastinal emphysema, dyspnea suddenly worsened, and the breath sounds decreased significantly; When complicated with persistent pulmonary hypertension, severe cyanosis occurred continuously, and there was no response to general oxygen therapy;

Chest protuberance was barrel shaped, with coarse moist rales in both lungs at the early stage and fine moist rales later. The above symptoms and signs were more obvious 12-24 hours after birth. When complicated with pneumothorax or mediastinal emphysema, dyspnea suddenly worsened, and the breath sounds decreased significantly; When complicated with persistent pulmonary hypertension, severe cyanosis occurred continuously, and there was no response to general oxygen therapy; Complicated cardiac function

matters needing attention

Attention should be paid to the children with aspiration pneumonia: it is not easy to increase the milk volume of premature infants too fast; If esophageal atresia and other malformations are suspected, feeding before diagnosis is at risk of aspiration, so water or glucose water is often recommended for the first feeding; Raising the head of the bed and feeding can reduce the risk of inhalation.