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新生儿窒息合并脏器损害的相关因素探讨 被引量:7

Relative Factors about Organ Involvement in Neonatal Asphyxia
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摘要 目的探讨新生儿窒息合并脏器损害的相关因素。方法根据146例窒息新生儿出生后的临床表现、实验室及影像学检查结果对患儿各脏器功能进行评估。结果窒息后脏器损害发生率最高达84.17%,依次为代谢异常、心脏损害、脑损害、胃肠损害、肺损害、肾损害;轻、重度窒息组患儿多脏器损害的发生率、窒息程度、复苏措施、宫内窘迫、动脉血pH值、胎龄间差别有显著性意义(P<0.05)。结论新生儿窒息常伴有脏器损害,其发生率与窒息程度、复苏措施、宫内窘迫、动脉血pH值及胎龄密切相关。 Objective To investigate the relative factors about organ involvement in neonatorum asphyxia. Methods To evaluate the functions of neonates' different viscera through checking clinic symptoms, laboratory and images indications in 146 cases with asphyxial after their birth. Results Among the 146 infants, the highest occurrence rate of organic lesion was 84. 17% , the organic lesions in the order are metabolic disturbance, the injuries of the heart, brain, gastrointestinal tract, lung, and kidney. There were significant differences in the prevalence of multi - organic lesions, the degree of asphyxia, resuscitation measure, intrauterine asphyxia, pH value, and fetal age between the mild of severe and asphyxia groups. Conclusion The neonatorum asphyxia is often accompanied with visceral injuries, and the prevalence is closely related to the degree of asphyxia, resuscitation measure, intrauterine asphyxia, pH value of arterial blood, and fetal age.
作者 赵奕怀
出处 《中国全科医学》 CAS CSCD 2006年第17期1424-1425,共2页 Chinese General Practice
关键词 窒息 新生儿 脏器损害 Asphyxial, neonatorum Visceral damage
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