Clinical features and causes of neonatal shock
LIU Jing-yuan, LIU Hong, QI Yu-jie, JIN Fei, LI Geng, DONG Shi-xiao, WENG Jing-wen
Published 2013-07-26
Cite as Int J Pediatr, 2013,40(04): 429-431. DOI: 10.3760/cma.j.issn.1673-4408.2013.04.029
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.
Key words:
Shock; Neonate; Diagnostic criteria
Contributor Information
LIU Jing-yuan
Department of Neonatal Center,Beijing Children's Hospital Affiliated to Capital Medical University ,Beijing 100045, China
LIU Hong
Department of Neonatal Center,Beijing Children's Hospital Affiliated to Capital Medical University ,Beijing 100045, China
QI Yu-jie
Department of Neonatal Center,Beijing Children's Hospital Affiliated to Capital Medical University ,Beijing 100045, China
JIN Fei
Department of Neonatal Center,Beijing Children's Hospital Affiliated to Capital Medical University ,Beijing 100045, China
LI Geng
Department of Neonatal Center,Beijing Children's Hospital Affiliated to Capital Medical University ,Beijing 100045, China
DONG Shi-xiao
Department of Neonatal Center,Beijing Children's Hospital Affiliated to Capital Medical University ,Beijing 100045, China
WENG Jing-wen
Department of Neonatal Center,Beijing Children's Hospital Affiliated to Capital Medical University ,Beijing 100045, China