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目的:探讨新生儿脑卒中的影响因素、诊断和治疗方案。方法:回顾性分析河南省驻马店市第一人民医院2003-08/2007-12 36例新生儿脑卒中的临床资料。36例入院后根据《新生儿缺氧缺血性脑病防治指南》为规范,采用综合治疗,包括“三对症”、“三维持”适时选用抗凝治疗,病情稳定后改善脑代谢,高压氧治疗。结果:经治疗后28例临床症状好转出院,4例放弃治疗(10%),死亡4例(10%)。结论:新生儿脑卒中病死率及致残率较高,需产科,儿科医师共同协作,早期发现,早期治疗,坚持治疗。
Objective: To investigate the influencing factors, diagnosis and treatment of neonatal stroke. Methods: The clinical data of 36 newborns with stroke were retrospectively analyzed in First People ’s Hospital of Zhumadian City, Henan Province from August 2003 to December 2007. Thirty-six patients were admitted to hospital according to the Guidelines for the Prevention and Treatment of Neonatal Hypoxic-Ischemic Encephalopathy. The patients were treated with comprehensive treatment, including “three symptomatic diseases” and “three-dimensional maintenance” , Hyperbaric oxygen therapy. Results: After treatment, the clinical symptoms of 28 patients were improved and discharged. Four patients gave up treatment (10%) and 4 patients died (10%). Conclusion: Neonatal stroke mortality and morbidity is high, requiring obstetric and pediatricians to work together to detect early, early treatment, adhere to the treatment.