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新生嬰兒呼吸急促的原因及觖決辦法(2)

出處：媽媽育兒網(wǎng) 日期：2015-05-05 11:36:32 編輯：Chen

2、下呼吸道感染：

造成新生兒下呼吸道感染的原因很多，黃亮迪依次說(shuō)明常見(jiàn)的原因有：早產(chǎn)兒呼吸道窘迫癥，如果寶寶于34周以內(nèi)出生，那么肺部的發(fā)育可能尚未成熟，就有可能有早產(chǎn)兒呼吸道窘迫癥。

再來(lái)也有可能是新生兒肺炎引起敗血癥，使呼吸窘迫；或是胎便吸入癥候群、先天性心臟病等，使氧氣無(wú)法正常供給，寶寶只好靠喘氣來(lái)增加含氧量。追查新生兒呼吸窘迫的原因

專家表示，1歲以下的新生兒若有呼吸急促，除了感染性的原因之外，過(guò)敏也是原因之一，此外，其它可能的因素還有：

（1）呼吸道融合病毒：如細(xì)支氣管炎。

（2）過(guò)敏：如寶寶于新生兒期就常有氣喘或是喘鳴聲就可能為過(guò)敏。

（3）先天性結(jié)構(gòu)異常：如因血管結(jié)構(gòu)異常，壓迫到呼吸道，使食道阻塞；或是氣管先天性異常。 

新生兒睡覺(jué)呼吸急促的癥狀

新生兒睡覺(jué)呼吸急促的癥狀有哪些？要觀察寶寶是否有呼吸異常的狀況，可以簡(jiǎn)單地從如下3個(gè)方向判斷：

1、呼吸的速度太快。剛出生的新生兒呼吸速度為每分鐘40～60下，隨著他的成長(zhǎng)，呼吸速度會(huì)慢慢下降，嬰幼兒20～30下，到了成人大約是15下。呼吸速度有異?？赡苁翘煸斐珊粑贝?，或是太慢造成呼吸暫停、呼吸遲緩等。

2、呼吸的深度明顯。在休息的情況下，寶寶的呼吸平順、有規(guī)則，并且有一定的深度。一旦發(fā)生呼吸異常，寶寶就會(huì)有呼吸很費(fèi)力的表現(xiàn)，我們可以觀察到寶寶有胸凹情形，也就是肋骨下緣與腹部交接處會(huì)有凹陷的現(xiàn)象、中央的胸骨凹陷或胸骨上方與頸部交接處凹陷，這是因?yàn)楹粑∪赓M(fèi)力的緣故。

新生兒的呼吸次數(shù)本身就要比成人要偏快一些，如果爸爸媽媽不放心的話，可以在日常多注意觀察，經(jīng)常數(shù)一下新生兒的呼吸頻率，如果發(fā)現(xiàn)異常的話，需要及時(shí)就醫(yī)。

3、呼吸的聲音有雜音。呼吸有雜音，多是因?yàn)楹粑赖姆置谖镌黾踊蚝粑廓M窄而產(chǎn)生的異常呼吸音，有可能出現(xiàn)鼻翼扇動(dòng)、喘息式呼吸等。有的寶寶出現(xiàn)呼吸異常時(shí)，呼吸聲會(huì)變得很大、嘈雜，甚至可以聽(tīng)到喘鳴聲、哮鳴聲和水泡狀的聲音等。雖然這些異常的呼吸音有時(shí)需要借助聽(tīng)診器才能聽(tīng)得出來(lái)，但是如果聲音明顯，那么不用聽(tīng)診器也能辨別出來(lái)。

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