摘要
目的 探讨围产期新生儿颅内出血的高危因素。方法 对 417例高危儿 ,从分娩方式、母亲孕期、产时并发症、胎龄、出生体重和血气检测值等进行回顾性分析。结果 臀位产、钳产、宫内窘迫、新生儿窒息、胎龄小于 32周、体重低于 15 0 0 g的早产儿、出生后 2 4h以内 Pa CO2 >6 .6 7k Pa、p H<7.2等是颅内出血的相关因素。结论 缺氧是引起颅内出血的主要因素 ,应加强胎儿的宫内监护和维持新生儿血气、血压的正常等预防工作。
Objective To investigate the high risk factors causing neonatal intracranial hemorrhage during perinatal period.Methods 417 neonates in delivery,maternal events in antepartum and postpartum,gestation age,weigh and arterial blood gas were studied. Results Breech delivery,forceps extraction,fetal distress interuterus and neonatal asphyxia,less than 32 weeks gestation,less 1500 g,PaCO 2>6 67 kPa pH<7 2,were at high risk. Conclusion Hypoxia is at mainrisk.88 9% intracranial hemorrhage was due to subdural hemorrhage;It was put forward that preventive measures should be strengthened in monitoring fetus, maintaining normal arterial blood gas and blood pressure etc, which are more effective than drug treatment.
出处
《华中医学杂志》
2000年第2期69-70,共2页
Central China Medical Journal
关键词
新生儿
颅内出血
围产期
危险因素
Neonate Intracranial hemorrhage Perinatal period
