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新生儿窒息的发病率及病死率均与母亲妊娠合并症有密切关系。本文结果表明新生儿窒息与上述原因相关,同时与脑瘫也有密切关系。 我院新生儿室1990年1月～1994年12月共出生新生儿为12 351例,新生儿窒息678例,发生率为5.49％。其中宫内窘迫共534例,占78.76％;孕母患妊高征者67例,占9.88％;孕母患高血压者25例,占3.69％;孕母患其他病者28例,占4.13％;胎盘异常者124例,占18.29％;脐带绕颈者290例,占42.77％。其中以脐带绕颈、胎盘异常和妊高征者居多,占70.94％。分娩过程窒息共106例,占15.63％。臀横位产者42例,占6.19％;各种助产手术64例,占9.44％(产钳助产35例;胎头吸引29例)。娩出后窒息共38例,占5.60％,主要为羊水吸入性窒息。 新生儿窒息常因胎儿宫内缺氧引起,多为胎儿宫内窘迫的延续,也可能因分娩过程中断血、缺氧而造成。
Neonatal asphyxia morbidity and mortality are closely related to the mother’s pregnancy complications. The results of this paper show that neonatal asphyxia is related to the above reasons, and is also closely related to cerebral palsy. Neonatal room in our hospital from January 1990 to December 1994 a total of 12 351 newborns were born, neonatal asphyxia 678 cases, the incidence was 5.49%. Among them, 534 cases were intrauterine distress, accounting for 78.76%; 67 cases were pregnant women with PIH, accounting for 9.88%; 25 cases were pregnant with hypertension, accounting for 3.69%; 28 cases were pregnant with other diseases, accounting for 4.13% %; 124 cases of abnormal placenta, accounting for 18.29%; 290 cases of umbilical cord around the neck, accounting for 42.77%. Among them, the umbilical cord around the neck, placental abnormalities and PIH mostly, accounting for 70.94%. Asphyxia during delivery a total of 106 cases, accounting for 15.63%. There were 42 cases of hip births, accounting for 6.19%; 64 cases of various midwifery operations, accounting for 9.44% (forceps midwifery in 35 cases; fetal head attraction in 29 cases). Asphyxia after delivery a total of 38 cases, accounting for 5.60%, mainly amniotic fluid aspiration. Neonatal asphyxia often caused by fetal hypoxia, mostly for the continuation of fetal distress, may also be due to interruption of labor during delivery, hypoxia caused.