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本文对以胎儿宫内窘迫为主要指征而进行剖宫产336例回顾性临床分析。我院1983～1985年共积累336例其中剖宫产证实有新生儿窒息60例,占胎儿宫内窘迫的17.85%。探讨了其发病原因,着重讨论了根据胎心率改变及胎粪污染羊水的情况,预测新生儿窒息的重要性。提出了胎儿宫内窒息指数比较法。并进行了组内回代,诊断符合率达到80.95%。作者认为此法具有一定的临床意义。
In this paper, a retrospective clinical analysis of 336 cases of cesarean section with fetal distress as the main indication. A total of 336 cases were found in our hospital from 1983 to 1985, of which 60 were cesarean section confirmed as neonatal asphyxia, accounting for 17.85% of fetal distress. Explore its causes, focusing on the changes in fetal heart rate and meconium-stained amniotic fluid situation, predict the importance of neonatal asphyxia. Proposed an intrauterine asphyxia index comparison method. And within the group back to the diagnosis of coincidence rate of 80.95%. The author believes that this method has some clinical significance.