Clinicalanalysisof28casesofneonatalshockAbstract:Objective:Toinvestigatethecauseofneonatalshock,improveclinicalunderstanding,diagnosisandtreatmentofmethod:usingamodifiedscoringcriteriaforchildrenwiththeshockratingsandindexingisdividedintomild,moderateandsevereneonatalshock.Results:septicshockin23cases(41.1%),cardiogenicshockand16patients(28.6%),hypovolemicshock,11cases(19.6%),choking,shockand6cases(10.7%).Conclusion:Strengtheningperinatalcare,preventionperinatalasphyxia,perinatalcheckwhenproductionguidance,therighttomaternitytreatmentandrescue,canreducetheincidenceofneonatalshock,improvethequalityoflife.Keywords:neonatalshocktherapy,etiologyShockiscausedbyavarietyofcausessystemicorganmicrocirculation,resultingintissuehypoxiaischemia,metabolicdisordersandorgandysfunction.Complexcausesofneonatalshock,therapidprogressofthedisease,earlysymptomsarenotobvious,ifnottimely1detectionandtreatmentthatcanquicklyleadtomultipleorganfailureisanimportantcauseofneonataldeath[1]Inordertoinvestigatethecauseofneonatalshock,improveclinicalunderstanding,diagnosisandtreatmentofcurrentlyNICUwardinJanuary2007to2009neonatalshockwasadmittedinDecemberfollowingareportof28cases.1MaterialsandMethods1.1GeneralInformation:28children,12males(42.8%,16females(57.2%aged0~3d10cases(35.7%,3to7d8cases(28.6%,7~28d10patients(36%prematurechildren17cases(60.7%offull-termchildren,11cases(39.2%,weight1000to1500g(10.7%,1501~2500g15patients(53.5%,2501~4000g10cases(35.7%fivecasesofdeath,accountingfor17.8%.1.2degreeandscoringmethods:IncomeGapBetweenUrbanandRuralResidentsinZhejiangProvinceandimprovedscoringofchildrenwiththeshockratingsandindexing[2].Neonatalshockdividedintomild,moderateandsevere.Mildshock35cases,13casesof2moderateshock,severeShockeightcases.1.3etiologyofshock:septicshock14cases(50%,6cases(21.4%hypovolemicshockcardiogenicshockin5cases(17.8%thesuffocationshockinthreecases(10.7%.Underlyingdiseasesleadingtoshock:thesepsiscasesofnecrotizingenterocolitisthreecases,threecasesofbirthasphyxia(2casesofmildasphyxia,severeasphyxiacases,pulmonaryhemorrhagetwocasesofintracranialhemorrhagein1case,2casesofgastrointestinalbleeding,twocasesofcongenitalheartdiseaseTheaspirationpneumoniafivecasesofhyalinemembranediseasein5cases,2casesofwetlungdisease,pneumoniacomplicatedbyheartfailuretwocases,tetanuscases.1.4Clinicalmanifestations:paleskincolororpatternin56cases(100%,capillaryrefilltimeextensionof54cases(96.4%,46patients(82.1%peripheralpulseweakenedlimbs,skintemperaturedecreasedin49cases(87.5%,apneaorrespiratoryirregularin35cases(62.5%ofthelowresponsein32patients(57.1%,heartrate3changesin25cases(44.6%,21cases(37.5%dropinbloodpressure,decreasedurineoutputof11cases(19.6%.1.5anti-shocktreatment:oxygen,treatmentoftheprimarydisease,vasoactivedrugsdopamineanddobutamine,expansioncorrectacidtomaintainnutrition,fluidandelectrolytebalance,symptomatictreatment.Warm,smoothairwaystrengthenpulse,respirationguardianshipoftheheartrate,bloodpressure,oxygensaturation,urineoutput,skintemperatureandrectaltemperature,consciousness,whereappropriate,theuseofnaloxone,dexamethasone,heparinandadrenaline.accordingtobloodgasanalysistheBEvalues​​guidingcomplementalkalicorrectacid,severerefractoryThenewbornsofshocktothetreatmentofrespiratorysupport.2ResultsSepticshockinthisgroupisthemaincauseofneonatalshock,23cases(41.1%,followedbycardiogen...