Newborn baby breathing with phlegm sound

If a newborn baby has phlegm when breathing, it means that the baby has a weak constitution. On the other hand, we need to prevent the baby from having respiratory infections. Some babies have poor constitutions and may develop diseases such as pneumonia due to some external reasons just after birth. This is quite harmful to the baby's health. At this time, we need to provide timely and good treatment, keep warm in daily life, and pay more attention to nourishment.

Newborn baby breathing with phlegm sound

Newborns sleep for a long time a day. Parents can judge whether the baby is sick by the newborn's breathing frequency and breathing movements. If the newborn's breathing rate increases, for example, from 40 times/minute to 60 times/minute, or sometimes even more. This indicates that the newborn may have an infection, often a sign of pneumonia.

1. Oxygen supply. Children with apnea require oxygen, often because the condition has been corrected. Recognized hypoxemia reduces the incidence of apnea. Generally, a mask or a hood can be used. Oxygenation needs to be monitored during oxygen administration, and the pulse oxygen saturation PaO26.65~10.76kPa (50~80mmHg) should be maintained at around 90% to prevent hyperoxia.

2. Increase afferent impulses. During an attack, supporting the child's back, tapping the soles of the feet, or providing other tactile stimulation can often relieve the attack of sleep apnea, but the disadvantage is that it requires special supervision. Placing the child on a vibrating water bed can increase the sensory nerve impulses of the respiratory center by increasing vestibular position stimulation, thereby reducing the onset of sleep apnea.

3. Drug treatment. The most commonly used therapeutic drugs belong to the methylxanthine class. Theobromine may directly stimulate the respiratory center or increase the sensitivity of the respiratory center to CO2, thereby increasing the respiratory rate and reducing the incidence of apnea. Its mechanism is due to the inhibition of phosphodiesterase, increasing the levels of cAMP and catecholamines.

Symptoms of tachypnea in newborns

1. Respiratory manifestations: The cry may be normal at birth, but breathing difficulties (>60/min), irregular breathing, and flaring of the nose may occur within 6 to 12 hours. The condition gradually worsens, and groaning and occasional breathing pauses may occur. The thorax bulges at first, then the atelectasis worsens and the thorax sinks, which is more obvious in the armpits. When inhaling, the soft tissue of the chest cavity sinks, which is most obvious below the rib margin and the lower end of the sternum. The lung breath sounds are reduced, and fine moist rales can be heard during inspiration.

2. Symptoms of cerebral hypoxia: slow reaction, low muscle tone, low body temperature, bluish-gray or grayish-white skin, and edema of the hands, feet, and face.

3. Symptoms of myocardial hypoxia: heart rate increases and then slows down, and heart sounds change from strong to weak. Right-to-left shunt occurs, that is, there is an abnormal communication between the left and right blood circulation pathways, causing the venous blood in the right heart chamber (including pulmonary artery blood) to be shunted to the left heart chamber (including pulmonary venous blood), resulting in cyanosis, which cannot be relieved by oxygen supply.

4. Characteristics of neonatal respiratory distress syndrome: It mostly occurs in premature infants and is a self-limiting disease. Mild type: Onset is late, which may be as late as 24 to 48 hours. The breathing difficulty is mild, there is no groaning, and the cyanosis is not obvious. After three or four days, type II cells can produce enough surfactant and the condition improves. However, concurrent pneumonia may cause the condition to worsen, and it will not improve until the infection is controlled. Severe cases: Death usually occurs within three days, with the highest mortality rate on the second day after birth.