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新生儿窒息后器官损害及其与围生因素的关系

Organ involvement in infants after asphyxia and relation to perinatal factors
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摘要 目的 探讨窒息缺氧所造成的器官损害及多器官损害与围生因素的关系。方法 用 χ2检验对 164例窒息患儿器官损害发生率以及多器官损害发生率进行分析 ,并对多器官损害发生率与多项围生因素的关系进行分析。结果 全组器官损害发生率 72 .5 % ,多器官损害发生率为 5 2 .4% ;重度窒息合并 2~ 5个器官损害的例数均明显多于轻度窒息 ,多器官损害发生率与孕周、脐带缠绕、胎盘钙化或早剥、宫内窘迫和窒息程度密切相关 ,而与出生体重、分娩方式无关。结论 随窒息程度加重、器官损害的程度加重 ,引起缺氧的围生因素可加重窒息后器官损害。 Objective To investigate the organ involvement in term infants after asphyxia and the relation between multiorgan involvement and perinatal factors.Methods The incidence of organ involvement and multiorgan involvement in 164 patients with asphyxia was analyzed by χ 2 test and so was the relation between multiorgan involvement and a few perinatal factors.Results The incidence of organ involvement was 72.5% and that of multiorgan involvement was 52.4%.The numbers of patients with severe asphyxia who had 2~5 organs impaired were significantly more than those of patients with mild asphyxia.The incidence of multiorgan involvement was related to gestational week,umbilical cord's winding,separation or calcification of placenta,fetal distress and the degree of asphyxia,but it was not related to the bearing weight and the way of labor.Conclusions The degree of organ involvement was aggravated when the degree of asphyxia was increased.The perinatal factors which caused hypoxia might aggravate organ involvement.
出处 《河北医药》 CAS 2000年第6期415-416,共2页 Hebei Medical Journal
关键词 器官损害 围生因素 急救 新生儿窒息 infant newborn asphyxia organ involvement perinatal factors
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