3/9/11

What is a wet lung of newborn?

Wet lungs of newborn, also known as neonatal transient respiratory difficulties, health within 1 day after rapid breathing, sometimes with cyanosis and moaning, symptoms last for long, prognosis is good.


Normal situation Xia, newborn appears natural respiratory Hou, alveolar within liquid is was absorption to between mass, Lung between mass within liquid by hair fine lymphatic and capillaries by absorption, and by lymphatic and vein transit (main is lymphatic), if alveolar within liquid too much, or vascular extravasation too much, or transit function does not all can makes between mass liquid increased, while, also makes alveolar within liquid cannot timely absorption and product left. Increased fluid in the lung, affect breathing and gas exchange, and cause shortness and difficulty in breathing in infants.


Wet lungs occurs in term infants for unknown reason, asphyxia are also prone to this disease. Due to excessive amniotic fluid inhalation, increased lung fluid, at the same time, hypoxia and acidosis, enhanced vascular permeability, plasma extravasation, to increase the interstitial fluid. Caesarean section babies, because no passage through the birth canal, liquid not crowding within the lung, higher incidence.

Newborn wet lung clinical manifestations seen in the following several points:

(1) light breathing fast, more than 60 times per minute, or fast to 80 times per minute, cyanotic lips, but normal response, crying when infants are not affected.


(2) more severe cases, breathing can be up to 100 times/min or more, cyanotic obvious, moaning, poor response, without food or cry.

(3) regardless of the severity of the symptoms, most normal body temperature, not many signs of lung, respiratory sounds only reduce, or a wet/dry Luo tone, can occur in children with severe metabolic acidosis and respiratory acidosis.


(4) in term newborn infants and expired baby see, baby boy than girl see.


(5) breathing are normal at birth, about 2-5 hours after rapid breathing, recovery in many cases be asphyxia, breathing normally.


(6) as tachypnea, hypoxia, acidosis, many infant physiological jaundice deeper, longer duration.

Care should close observation, early detection, and identification and aspiration pneumonia and respiratory distress syndrome. Supply the amount of oxygen in the shortness of breath and cyanotic phase, with intermittent oxygen method, bruising not at all obvious, pausing for oxygen. Not sucking milk does not have to reluctantly, to avoid vomiting after inhalation, intravenous rehydration or to hospital, restless, may grant certain sedatives or dehydrating agent to prevent cerebral edema due to hypoxia.

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