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本院1983～1988新生儿窒息共1159例,发生率6.4％。自采用规范化ABCDE复苏方案以来,病死率由8.4降至3％。97％的新生儿产前有各种高危因素。窒息发生率与胎别、性别、孕周、体重有关。Apqar评分值与血气值密切相关,1分钟和5分钟评分愈低,早期并发症和病死率愈高,抢救耽搁时间愈长,所需复苏时间愈长。普及新法复苏、抢救争分夺秒、复苏后密切监护和加强产前、产程中监护,是降低死亡和致残率的关键措施。
The hospital 1983 to 1988 neonatal asphyxia a total of 1159 cases, the incidence of 6.4%. The mortality rate has dropped from 8.4 to 3% since the adoption of the standardized ABCDE recovery program. 97% of newborns prenatal have a variety of risk factors. The incidence of asphyxia and fetal, gender, gestational age, weight related. The Apqar score is closely related to blood gas values. The lower the score at 1 minute and 5 minutes, the higher the rate of early complications and mortality. The longer the delay in rescue, the longer the time required for recovery. To popularize the new law to recover, to save the race against time, to closely monitor and strengthen the guardianship during the prenatal and mid-term labor recovery after the resuscitation is the key measure to reduce the rate of death and morbidity.