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新生儿缺氧缺血性脑病(HIE)是由围生期窒息缺氧所致的脑损伤,而缺氧窒息所致损伤不是孤立发生于脑部,其中肺、肾、心及消化系统亦可由缺氧缺血而引起损伤。过去我们对HIE合并多脏器损伤认识不足,尤其是对心肌的损伤,临床观察及治疗往往仅局限于HIE,忽略了心肌损伤的诊断和治疗,而心肌损伤的早期诊断和治疗对HIE的恢复是相当重要的。本文对我院收治的98例不同程度的HIE患儿进行了心肌酶、心电图等检查,对HIE合并心肌损伤者给予早期诊断并进行相应治疗,现报告如下。
Neonatal hypoxic-ischemic encephalopathy (HIE) is a brain injury caused by perinatal asphyxia and hypoxia, and injury induced by hypoxia and asphyxiation does not occur in the brain in isolation. The lung, kidney, heart and digestive system can also be caused by Hypoxic-ischemic injury. In the past, we did not know enough about HIE combined with multiple organ injury. Especially for myocardial injury, clinical observation and treatment were often confined to HIE, which neglected the diagnosis and treatment of myocardial injury. However, the early diagnosis and treatment of myocardial injury recovered HIE Is very important. This article admitted to our hospital in 98 cases of HIE children with varying degrees of myocardial enzymes, ECG and other tests, HIE combined with myocardial injury were given early diagnosis and treatment accordingly are as follows.