新生儿窒息并多脏器损害255例临床分析(1)
【摘要】 目的 了解新生儿窒息后多脏器损害发生率及围生期因素与多脏器损害的关系。方法 对255例窒息新生儿脏器损害发生率进行评估，并对窒息新生儿的相关因素进行分析。结果 重度窒息发生多脏器损害率明显高于轻度窒息，窒息后脑损害发生率占67.8%，肺损害占64.7%，心肌损害占58.8%，肝脏损害占42.0%，胃肠损害占32.9%，肾脏损害占11.4%；窒息后多脏器损害与出生地点、宫内窘迫、脐带异常、窒息程度及窒息的抢救及时与否有关。结论 重视围生期保健，分娩前严密监测，加强产儿合作，及时合理复苏和重视复苏后监测，可以降低新生儿窒息后多脏器损害发生率，提高新生儿生存质量。【关键词】 新生儿; 窒息;围生期;多脏器损害
Clinical investigation on 255 cases of neonatal asphyxia and multiple organ damage
Huang Hui-qing. The Frist Peoples Hospital ofFoshan city,Guangdong 528000,China
【Abstract】 Objective To understand the post neonatal asphyxia incidence of multiple organ damage and relationship of perinatal factors and multiple organ damage.Methods The incidence of organ damage in 255 cases of neonatal asphyxia and related factors were analyzed.Results The incidence of multiple organ result by severe asphyxia was significantly higher than that of mild asphyxia.The incidence of brain damage was 67.8%, lung injury 64.7%, myocardial damage 58.8%, liver damage 42.0%, gastrointestinal damage 32.9%, kidney damage 11.4%.Multiple organ damage after asphyxia was related with place of birth,fetal distress,umbilical cord abnormalities,the degree of asphyxia and suffocation or not related to the timely rescue.Conclusion Paid attention to perinatal stage health care, strict monitored before the childbirth,strengthened the product cooperation,recovered and took the recovery reasonably after promptly monitors,reduced the multi-internal organs harm after the newborn suffocates,enhanced the life quality of the newborn. ......
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