CAJ | 학술논문

目的了解新生儿窒息的原因,探讨其抢救措施,掌握抢救的要点,总结抢救的经验.方法搜集本院129例新生儿窒息的临床资料,分析造成新生儿窒息的原因,并提出最佳的复苏措施.结果导致新生儿窒息的主要原因是胎儿宫内窘迫、脐带因素和羊水过少,其次是胎位和产程异常.本组129例患儿中,抢救成功率93.80%,其中治愈121例,致残3例,死亡5例.结论新生儿窒息的发生与多种产科因素及分娩方式密切相关;加强围产期保健和产程监护,正确处理产程,提高助产和复苏技术,选择适当的分娩方式,是降低新生儿窒息率的有效措施.
목적 료해신생인질식적원인,탐토기창구조시,장악창구적요점,총결창구적경험.방법 수집본원129례신생인질식적림상자료,분석조성신생인질식적원인,병제출최가적복소조시.결과 도치신생인질식적주요원인시태인궁내군박、제대인소화양수과소,기차시태위화산정이상.본조129례환인중,창구성공솔93.80%,기중치유121례,치잔3례,사망5례.결론 신생인질식적발생여다충산과인소급분면방식밀절상관;가강위산기보건화산정감호,정학처리산정,제고조산화복소기술,선택괄당적분면방식,시강저신생인질식솔적유효조시.
Objective To explore the causes and resuscitation of neonatal asphyxia to master the essentials of resuscitation, and to summarize the experience of resuscitation. Methods The clinical data on 129 cases of neonatal asphyxia were collected to analyze the causes of the disorder and establish the best resuscitation measures. Results The etiologies were mainly due to fetal distress, umbilical cord abnormalities and hypoamnion, followed by abnormal fetal positions and labor process. The success rate was 93.80% in all the neonates, 121 of whom were cured, 3 were disable, and 5 were dead. Conclusions Neonatal asphyxia is closely related with a variety of obstetric factors and delivery types. Enhancement of perinatal care and birth process monitoring, correct management of labor process, improvement of midwifery and resuscitation, and proper selection of delivery types are the effective measures to reduce the incidence of neonatal asphyxia.