摘要
目的为降低新生儿窒息后器官功能损害的发生率、致残率、病死率,探讨围产因素与窒息后器官功能损害的关系,提出干预措施。方法对本院2007年110例窒息新生儿进行回顾性分析。结果①窒息后器官损害的发生率为87.27%,脑损害为67.27%,心脏损害为38.18%,肺损害为23.63%,胃肠损害为7.27%,肾损害为4.54%。②多器官损害的发生率与胎龄、重度窒息、5minApgar评分≤5分相关,而与出生时新生儿体质量、羊水污染程度及宫内窘迫关系不大。结论重视新生儿窒息的三级预防:防早产;防窒息,推广新法复苏技术,争取早期复苏;早发现早处理器官功能损害,降低病死率及致残率。
Objective To cut down the incidence, mutilation rate and mortality rate of organ dysfunction in cases of neonatal asphyxia and to explore the relationship between perinatal factors and organ dysfunction in neonatal asphyxia and its intervention measures. Methods The clinical data of 110 patients with neonatal asphyxia admitted in this hospital in 2007were retrospectively reviewed and analyzed. Results ① The incidence rate of organ dysfunction in neonatal asphyxia was 87.27%. Among them, cerebral impairment was seen in 67.27%, cardiac impairment in 38.18%, pulmonary impairment in 23.63%, gastrointestinal impairment in 7.27% and renal impairment in 4.54%. ②The occurrence of multiorgan dysfunction was correlated with fetal age, severe asphyxia and Apgar scores at 5 minutes ≤5 . On the other hand, it was not correlated with birth weight, contamination level of anmiotic fluid and embarrassment in hysteria. Conclusion The three - level prevention of neonatal asphyxia should be emphasized. Prevention of premature birth and asphyxia, spreading new resuscitation technique, striving early resuscitation and early detection and treatment of organ dysfunction as soon as possible in order to decrease the incidence, mutilation rate and mortality rate.
出处
《临床和实验医学杂志》
2009年第8期91-93,共3页
Journal of Clinical and Experimental Medicine
关键词
新生儿
窒息
器官功能损害
三级预防
Neonatal asphyxia
Muhiorgan dysfunction
Three -level prevention
