世界最新医学信息文摘（电子版）
世界最新醫學信息文摘（電子版）
세계최신의학신식문적（전자판）
World Latest Medicine Information
2013年
10期
44-44,43
,共2页
新生儿%窒息%临床%特点%救治
新生兒%窒息%臨床%特點%救治
신생인%질식%림상%특점%구치
the clinical%characteristics%of neonatal%asphyxia
目的探讨新生儿窒息的临床特点、相关因素及其救治措施。方法随机选取2010年2月至2012年12月本院新生儿科46例新生儿窒息住院患者病例资料进行分析。结果本组46例新生儿窒息主要由孕母因素26例（56.52%）、胎盘因素14例（30.43%）、胎儿因素4例（8.70%）及羊水误吸2例（4.35%）等因素所致。其并发症主要有颅内出血19例（41.30%）、心肌损伤15例（32.61%）、消化道出血12例（26.09%）。经采用复苏治疗措施及对症治疗后治愈好转36例（78.26%），自动出院8例（17.39%），死亡2例（4.35%）.结论新生儿窒息是导致新生儿残疾和死亡的主要原因之一，窒息发生后应及时正确的抢救治疗，以提高疗效，减少后遗症。同时注重孕期保健、分娩前后监护，及时发现窒息高危因素后采取治疗与预防是降低致残率及死亡率的关键。
目的探討新生兒窒息的臨床特點、相關因素及其救治措施。方法隨機選取2010年2月至2012年12月本院新生兒科46例新生兒窒息住院患者病例資料進行分析。結果本組46例新生兒窒息主要由孕母因素26例（56.52%）、胎盤因素14例（30.43%）、胎兒因素4例（8.70%）及羊水誤吸2例（4.35%）等因素所緻。其併髮癥主要有顱內齣血19例（41.30%）、心肌損傷15例（32.61%）、消化道齣血12例（26.09%）。經採用複囌治療措施及對癥治療後治愈好轉36例（78.26%），自動齣院8例（17.39%），死亡2例（4.35%）.結論新生兒窒息是導緻新生兒殘疾和死亡的主要原因之一，窒息髮生後應及時正確的搶救治療，以提高療效，減少後遺癥。同時註重孕期保健、分娩前後鑑護，及時髮現窒息高危因素後採取治療與預防是降低緻殘率及死亡率的關鍵。
목적탐토신생인질식적림상특점、상관인소급기구치조시。방법수궤선취2010년2월지2012년12월본원신생인과46례신생인질식주원환자병례자료진행분석。결과본조46례신생인질식주요유잉모인소26례（56.52%）、태반인소14례（30.43%）、태인인소4례（8.70%）급양수오흡2례（4.35%）등인소소치。기병발증주요유로내출혈19례（41.30%）、심기손상15례（32.61%）、소화도출혈12례（26.09%）。경채용복소치료조시급대증치료후치유호전36례（78.26%），자동출원8례（17.39%），사망2례（4.35%）.결론신생인질식시도치신생인잔질화사망적주요원인지일，질식발생후응급시정학적창구치료，이제고료효，감소후유증。동시주중잉기보건、분면전후감호，급시발현질식고위인소후채취치료여예방시강저치잔솔급사망솔적관건。
Objective to explore the related factors, clinical characteristics and treatment measures of neonatal asphyxia. Methods randomly selected in 2010 February to 2012 December in our hospital 46 cases of neonatal asphyxia neonatal inpatient data were analyzed.Methods randomly selected from February 2010 to December 2012 in our hospital data of 46 cases of hospitalized patients with neonatal asphyxia were analyzed. Results of 46 cases of neonatal asphyxia is mainly composed of motherhood factors in 26 cases (56.52%), placenta factor in 14 cases (30.43%), 4 cases (8.70%) and fetal factors midwife doctor in 2 cases (4.35%), etc. The main complications of intracranial hemorrhage in 19 (41.30%), myocardial injury 15 cases (32.61%), 12 cases of gastrointestinal bleeding (26.09%). Cured by adopting recovery treatment and symptomatic treatment after improvement in 36 cases (78.26%), automatic discharge 8 cases (17.39%), 2 cases died (4.35%). Conclusions neonatal asphyxia is one of the leading causes of disability and death in newborns, asphyxia happens to correct timely rescue treatment, in order to improve the curative effect and reduce complications. At the same time pay attention to care before and after care during pregnancy, childbirth, found that after the suffocation risk factors to prevent and treat in time is the key to reduce morbidity and mortality.
