CAJ | 학술논문

目的探讨和强调不同程度胎盘早剥产妇所生新生儿的临床特征和危险性。方法回顾对照分析1994年7月～1998年6月本科收治的141例不同程度胎盘早剥产妇所生新生儿的临床资料。结果胎盘早剥产妇所生新生儿中早产儿为94.3%，低出生体重儿为80.9%，窒息儿为79.4%；入院时缺氧缺血性脑病(HIE)为63.1%，心肌损害为56.0%，休克为56.7%，贫血为61.7%，弥漫性血管内凝血(DIC)为83.0%，酸中毒为66.0%，呼吸窘迫综合征(RDS)为50.4%，呼吸暂停为51.1%，均在50%以上。母胎盘早剥轻型组与重型组之间，入院日龄、性别、产式、胎龄、出生体重例数分布差异无显著意义，但各病症检出率均以重型组为高。其中窒息儿主要是重度窒息，检出率以重型组为高；DIC中，高凝期检出率以轻型组为高，低凝期检出率以重型组为高；轻型组新生儿中各相关危重症检出率虽然较重型组显著为低，但也分别达43.4%～77.4%。结论印证了上述病症是胎盘早剥产妇所生新生儿的临床特征；表明了重型胎盘早剥产妇所生新生儿病情更复杂、更严重，但轻型产妇所生新生儿也具一定危险性，均应引起高度重视。
목적탐토화강조불동정도태반조박산부소생신생인적림상특정화위험성。방법회고대조분석1994년7월～1998년6월본과수치적141례불동정도태반조박산부소생신생인적림상자료。결과태반조박산부소생신생인중조산인위94.3%，저출생체중인위80.9%，질식인위79.4%；입원시결양결혈성뇌병(HIE)위63.1%，심기손해위56.0%，휴극위56.7%，빈혈위61.7%，미만성혈관내응혈(DIC)위83.0%，산중독위66.0%，호흡군박종합정(RDS)위50.4%，호흡잠정위51.1%，균재50%이상。모태반조박경형조여중형조지간，입원일령、성별、산식、태령、출생체중례수분포차이무현저의의，단각병증검출솔균이중형조위고。기중질식인주요시중도질식，검출솔이중형조위고；DIC중，고응기검출솔이경형조위고，저응기검출솔이중형조위고；경형조신생인중각상관위중증검출솔수연교중형조현저위저，단야분별체43.4%～77.4%。결론인증료상술병증시태반조박산부소생신생인적림상특정；표명료중형태반조박산부소생신생인병정경복잡、경엄중，단경형산부소생신생인야구일정위험성，균응인기고도중시。
Objective To Study the clinical pathology character anddangerousness of the newborns given birth by placental abruption mothers (NPAM). Method 141 NPAMs in our department during July 1994 to June 1998 were reviewed and analysed. Results More than 50% NPAMs suffer from complications including premature (94.3%), low birth weight (80.9%), asphyxia (79.4%), HIE (63.1%), myocardial lesion (56.0%), shock (56.7%), anemia (61.7%), DIC (83.0%), acidosis (66.0%), RDS(50.4%) and apnea (51.1%). The percentages of these in NPAMs of sever placental abruption mothers (group S) are higher than that of light ones (group L). In details, there are more sever asphyxia in group S, and there are more patients of high-coagulated DIC period in group L while more patients of low-coagulated period in group S, neonates in group L have significantly less correlated risky symptoms (43.4%～77.4%). Conclusion The complications discussed are clinical pathology characters of NPAMs. Though NPAMs of sever placental abruption mothers are in worse situation, NPAMs of light placental abruption mothers also need to pay attention to.