中国社区医师
中國社區醫師
중국사구의사
Chinese Community Doctors
2014年
28期
72-73
,共2页
新生儿%产伤性疾病%临床探究
新生兒%產傷性疾病%臨床探究
신생인%산상성질병%림상탐구
Newborn%Obstetric disease%Clinical research
目的：探讨新生儿产伤性疾病的高危因素和应对手段。方法：2011年2月-2014年2月收治产伤患儿35例，对其临床资料进行回顾性分析。结果：头颅血肿、颅内出血、软组织损伤、锁骨骨折是新生儿产伤的几个主要方面，其中头颅血肿最多，最少的是锁骨骨折；正常体重新生儿的产伤率明显低于巨大儿和低出生体重儿；自然分娩的产伤发生率低于产钳助产和臀位助产分娩，高于剖宫产。结论：产妇产前必须做综合检查，依据产妇和胎儿的具体情况选择不同的分娩方式，严密监测分娩过程，这样能够有效预防新生儿产伤，降低新生儿产伤发生率。
目的：探討新生兒產傷性疾病的高危因素和應對手段。方法：2011年2月-2014年2月收治產傷患兒35例，對其臨床資料進行迴顧性分析。結果：頭顱血腫、顱內齣血、軟組織損傷、鎖骨骨摺是新生兒產傷的幾箇主要方麵，其中頭顱血腫最多，最少的是鎖骨骨摺；正常體重新生兒的產傷率明顯低于巨大兒和低齣生體重兒；自然分娩的產傷髮生率低于產鉗助產和臀位助產分娩，高于剖宮產。結論：產婦產前必鬚做綜閤檢查，依據產婦和胎兒的具體情況選擇不同的分娩方式，嚴密鑑測分娩過程，這樣能夠有效預防新生兒產傷，降低新生兒產傷髮生率。
목적：탐토신생인산상성질병적고위인소화응대수단。방법：2011년2월-2014년2월수치산상환인35례，대기림상자료진행회고성분석。결과：두로혈종、로내출혈、연조직손상、쇄골골절시신생인산상적궤개주요방면，기중두로혈종최다，최소적시쇄골골절；정상체중신생인적산상솔명현저우거대인화저출생체중인；자연분면적산상발생솔저우산겸조산화둔위조산분면，고우부궁산。결론：산부산전필수주종합검사，의거산부화태인적구체정황선택불동적분면방식，엄밀감측분면과정，저양능구유효예방신생인산상，강저신생인산상발생솔。
Objective:To explore the high risk factors and coping methods of neonatal birth injury diseases.Methods:35 cases with birth injury were selected from February 2011 to February 2014.The clinical data were retrospectively analyzed.Results:Cranial hematoma,intracranial hemorrhage,soft tissue injury,clavicle fracture were the main aspects of birth injury.Cranial hematoma was the most,and clavicle fracture was the least.In the normal birth weight,birth injury rate was significantly lower than the giant infants and low birth weight infants.Natural parturition injury rate was lower than the forceps and breech extraction childbirth, which was higher than that of cesarean section.Conclusion:Maternal prenatal must do comprehensive examination.According to the specific situation of maternal and fetal,doctors can choose the different modes of delivery.We should closely monitor the delivery process,so that it can effectively prevent neonatal injury,and reduce the incidence of neonatal injury.
