Tỷ lệ xuất huyết phổi ở trẻ non tháng dưới 32 tuần tại Bệnh viện Nhi Đồng 1

Pulmonary hemorrhage is a serious complication, more prevalent in preterm infants, and has a very high mortality rate. Pulmonary hemorrhage was defined as the presence of hemorrhagic fluid in the trachea or endotracheal tube, accompanied by significant clinical deterioration. Objectives Describe the prevalence of pulmonary hemorrhage in very preterm neonates with pulmonary hemorrhage at Children’s Hospital 1. Methods Cross-sectional study of 118 very preterm neonates were admitted to NICU at Children’s Hospital 1, and 28 patients met the proposed criteria for pulmonary hemorrhage. Results From April 1, 2018 to March 31, 2019, a total of 118 very preterm neonates were admitted to NICU at Children’s Hospital 1, and 28 patients met the proposed criteria for pulmonary hemorrhage. Prevalence of pulmonary hemorrhage in very preterm neonates was 23.7% and increased to 40.4% in extremely preterm patients. The median age of preterm infants occurred pulmonary hemorrhage was 47 hours. The prevalence of pulmonary hemorrhage neonates in the group treating with surfactant was higher than that of the no-surfactant group (35.9% and 9.3%, respectively) Conclusion Prevalence of pulmonary hemorrhage in very preterm neonates was 23.7% and higher in extremely preterm patients. Preterm neonates having many risk factors should be minded when occurred pulmonary hemorrhage to diagnose and treat appropriately.