Multi-cell and twins 56 cases of apnea in premature infants Nursing.doc

 PAGE \* MERGEFORMAT 9 Multi-cell and twins 56 cases of apnea in premature infants Nursing Keywords: Preterm Neonatal ICU ward at the hospital 2004  06 ~ 2007  06, were treated in multiple births, twins, 62 cases of premature infants, of which 56 cases had apnea. Apnea in children with right to take appropriate nursing interventions to achieve satisfactory results, the report is as follows. A clinical data 1.1 General Information 62 cases of multiple births, and twins, premature babies, 3 births 12 cases, 50 cases of twins. The lowest birth weight 670 g, average weight of 1 660.3 g, minimum 24 weeks gestational age, with an average gestational age 33.1 weeks. 62 cases of premature infants, 43 cases had varying degrees of apnea, 13 patients with RDS, and birth weight less, the smaller the gestational age, apnea occurs sooner, duration is also longer, there are six cases of breathing for this application machine. Apnea occurred at least 1 ~ 2 times / d, up to 15 ~ 20 times / d, and after the birth occurred within the first 3 ~ 5 d period. 1.2 apnea and RDS CAUSE ① environmental temperature or body temperature is too high, too low in 3 cases; ② 4 cases of high and low blood sugar; ③ excessive fluctuations in blood gas values in 17 cases; ④ 8 cases of gastroesophageal reflux; ⑤ infection in 19 cases; ⑥ excessive neck extension, flexion in 5 cases . 2 nursing 2.1 effective clean-up the respiratory tract, to keep the airway patency To give children a different posture, milk before sending in the supine position at home, under the shoulder pad, with two small sandbags fixed-head, to avoid excessive neck flexion, the head may be biased towards the side of milk given to the right side after the supine , head to one side. Prone position can rationalize the ratio of the lung qi and blood, blood oxygen partial pressure increases, and the prone position to prevent reflux inhalation, high security [1]. The g