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目的 探讨围产期窒息以及窒息后的复苏与脑损伤的关系。方法 对近 6年来收治的 1 36例围产窒息儿从窒息的程度、胎龄及窒息后复苏与脑损伤的发生进行分组对比。结果 重度窒息儿及早产窒息儿脑损伤的发生率为 91 .6 %和 85 .3% ,分别高于轻度窒息儿和足月窒息儿 ,P <0 .0 1 ,差异显著。窒息后及时复苏 ,脑损伤的发生率相对较低。结论 减轻窒息的程度及窒息后及时复苏是降低脑损伤发生的关键。
Objective To investigate the relationship between perinatal asphyxia and resuscitation after asphyxia and brain injury. Methods One hundred and sixty-six cases of perinatal asphyxia admitted during the past 6 years were divided into groups according to the degree of asphyxia, gestational age, resuscitation after asphyxia and brain injury. Results The incidence of brain injury in severe asphyxial infants and premature infants with asphyxia was 91.6% and 85.3%, respectively, higher than that of mild asphyxia children and full-term asphyxia children, P <0.01, the difference was significant. Suffocation prompt recovery, the incidence of brain injury is relatively low. Conclusions To reduce the degree of asphyxia and timely resuscitation after asphyxia is the key to reduce the occurrence of brain injury.