【摘要】 目的分析新生儿窒息的临床特征和预后,探讨早期诊断和治疗的重要性。方法采用对重度窒息儿评分法及新生儿休克评分法,对确诊为窒息性休克的新生儿进行临床分析评估。结果 6例重度窒息患儿均伴有窒息性休克(100%);6例中4例并发新生儿缺氧缺血性脑病(67%),2例并发颅内出血(33%),意识障碍5例(83%),4例合并心肌损伤并发症(67%);6例均有酸碱平衡紊乱(100%)。结论新生儿窒息的发生是多因素的,中心环节是缺氧,中枢神经系统在严重缺氧下常造成不可逆损伤,甚至产生严重后遗症,窒息严重程度和预后呈正相关,必须早期诊断及治疗。更多还原

【Abstract】 Objective To analyze the clinical chracteristics and prognosis of neonatal asphyxiation,and to discuss the importance of early diagnosis and treatment in newborns.Methods To analyze and evaluate clinically to neonates with diagnosed asphyxiating shock by adopting Apgar score of heavy asphysiation and neonatal shock score.Results Six cases with heavy asphysiation complicated with shock(100%),4 cases complicated with hypoxic-ischemic encephalopathy(67%),2 cases for intracranial hemorrhage(33%),4 cases suffered from myocardiac injury(67%),6 cases with acid-base equilibrium disorder,severity.Conclusion Neonatal asphysiation caused from multi-factors,the central link is the lack of oxygen,to cause irreversible damage to central nervous system on the condition of severe anoxia,even give rise to severe sequelae,so early diagnosis and therapy is urgently needed.更多还原