【摘要】 目的 探讨新生儿患肺透明膜病(HMD)临床相关因素。方法 回顾分析1997年12月～1999年12月我院新生儿肺透明膜病的产科临床资料。结果 3172例新生儿中,HMD 98例,发病率为3.09％,其中足月儿8例,占HMD的8.16％;围产期窒息的足月新生儿HMD发病率高于无围产期窒息者;妊娠合并糖尿病共48例,发生HMD 11例,发生率为22.92％,其中足月儿发生HMD 3例,占HMD的27.27％。无糖尿病组共3 124例,发生HMD 87例,发生率为2.78％。产程未开始行剖宫产的足月新生儿HMD,其发病率高于产程开始后行剖宫产及阴道分娩者(P<0.05);男婴的发病率高于女婴。结论 做好孕妇保健,防止早产,及早治疗合并糖尿病孕妇,正确处理围产期窒息,剖宫产尽可能在分娩发动后施行,有可能减少HMD的发生,同时不应忽略足月儿的HMD。更多还原

【Abstract】 Objective To investigate the related clinical factors of hyaline membrane disease (HMD) in infants. Method The clinical data of infants with HMD were analysed retrospectivtly in our hospital during 1997.12 ~ 1999.12. Results There were 98 infants suffered from HMD,and 8 out of them were full-term infants. The rate of incidence with HMD was higher in infant with perinatal asphyxia than without. For cesarean sections performed before onsets of labor,the rate of incidence with HMD was higher than those performed after the onsets of labor and the vaginal delivery ( P < 0.05). Boys showed higher incidence rate than girls. Condusions Do better work in the prenatal care to prevent the premature deliveries. It is important not to neglect the possibility of HMD in full-term infant. Doctors should treat the diabetic pregnant women as early as possible,manage the prenatal asphyxia properly and perform cesarean sections after the onset of labor.更多还原