【摘要】 目的探讨新生儿窒息多器官损害临床诊断中将脐动脉血血气分析结合Apgar评分的价值。方法选取2014至2016年我院收治的112例新生儿窒息患儿112例,分别以Apgar评分与脐动脉血p H值以及BE值为标准预测多器官损害。结果患儿中多器官损害发生率为44.64%(50/112);以1分钟Apgar≤7或3为标准,多器官损害阳性预测值为46.00%与64.00%,敏感度为30.26%与50.79%,特异度为25.00%与63.27%;以p H是否在7或BE在-16mmol/L以下为标准,阳性预测值为72.00%,敏感度为65.45%,特异度为75.44%。结论其动脉血气分析p H与BE值能够作为新生儿窒息以及多器官损害的评价指标,结合Apgar评分能够提高诊断的准确性。更多还原

【Abstract】 Objective To study the neonatal asphyxia multiple organ damage in clinical diagnosis of umbilical arterial blood gas analysis combined with Apgar score value. Methods 112 cases of newborns with asphyxia from 2014 to 2016 in our hospital 112 cases, respectively, Apgar scores and umbilical arterial blood p H value and the value of the standard BE predict multiple organ damage. Results The incidence of organ damage. Damage in children with multiple organ for 44.64% to 1 minutes(50/112). Apgar =7or3 as the standard, multiple organ damage, the positive predictive value was 46% and 64%, the sensitivity was 30.26% and specificity was 50.79%, 25% and 63.27%; the p H is in 7 or BE under-16mmol/L standard, positive predictive value 72%, the sensitivity was 65.45%, specificity was 75.44%. Conclusion The arterial blood gas analysis of p H and BE can be used as the evaluation index of neonatal asphyxia and multiple organ damage, combined with the Apgar score can improve the diagnostic accuracy.更多还原