Clinical features and causes of neonatal shock

VernacularTitle:新生儿休克病因及临床分析
Author: Jingyuan LIU ; Hong LIU ; Yujie QI ; Fei JIN ; Geng LI ; Shixiao DONG ; Jingwen WENG
Publication Type:Journal Article
Keywords: Shock; Neonate; Diagnostic criteria
From: International Journal of Pediatrics 2013;40(4):429-431
CountryChina
Language:Chinese
Abstract: Objective To discuss the clinical features of neonatal shock retrospectively.Methods Totally 144 neonates were enrolled in this retrospective study from Sep.2006 to Sep.2012 in NICU of Beijing Children's Hospital.Clinical data were collected from our database,including the primary disease,manifestation,laboratory findings,treatment and prognosis.Results According to the severity of shock,28 cases were mild,85 were moderate,31 were severe.Regarding to the type of shock,71 cases were cardiogenic shock,22 cases were hypovolemic shock,51 cases were septic shock.About 69.4％ patients were cured,only 9 cases died.Eight of them died of septic shock.Totally 33 cases in pH ＜7.15 group,2 of them died.In pH≥7.15 group,111 cases were involved,7 of them died.There was no significant difference of mortality between two groups (P =0.959).Conclusion Neonatal shock mostly occurred within 3 days after birth,and cardiogenic shock were dominating.Septic shock increased with age,and were responsible for death.