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目的了解新生儿窒息后多器官损害的发生率及其与窒息程度、胎龄、出生体重的关系。方法对收治的 64例新生儿窒息患儿的临床资料进行分析。结果本组患儿 3 5例并发多器官损害 ,发生率 5 4.69% ,且多器官损害发生率与窒息程度有关 ,重度窒息组为83 .3 3 % ,明显高于轻度窒息组 (4 8.0 8% ) ,两组比较有显著性差异 (P<0 .0 1) ;其中脑损害发生率 46.88% ,肺损害 42 .19% ,心脏损害3 4.3 8% ,胃肠损害 2 5 .0 0 % ,肾损害 2 3 .44 %。多器官损害的病死率亦与窒息程度有关 ,重度窒息组病死率 2 5 .0 0 % ,轻度窒息组病死率 9.62 % ;窒息后多器官损害发生率与胎龄、出生体重密切相关。结论积极做好围生期保健 ,降低早产儿、低出生体重儿的出生率 ,提倡新法复苏 ,采取各种积极有效措施 ,兼顾多脏器的保护 ,防止其损害 ,提高治愈率。
Objective To investigate the incidence of multiple organ damage after asphyxia and its relationship with asphyxia, gestational age and birth weight. Methods The clinical data of 64 neonates with asphyxia admitted were analyzed. Results The incidence of multiple organ damage was 35.69% in 35 children with multiple organ damage. The incidence of multiple organ damage was related to the degree of asphyxia, 83.33% in severe asphyxia group, which was significantly higher than that in mild asphyxia group 8%). There were significant differences between the two groups (P <0.01). The incidence of brain damage was 46.88%, lung injury was 42.19%, heart damage was 4.3%, gastrointestinal damage was 25.0% %, Renal damage 23.34%. The mortality rate of multiple organ damage was also related to the degree of asphyxia. The mortality of severe asphyxia group was 25.0% and that of mild asphyxia group was 9.62%. The incidence of multiple organ damage after asphyxia was closely related to gestational age and birth weight. Conclusions Actively improve the perinatal health care, reduce the birth rate of premature children, low birth weight children, promote the recovery of the new law, take various positive and effective measures to take into account the protection of multiple organs to prevent their damage and improve the cure rate.