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胎粪吸入综合征70例临床分析 被引量:9

CLINICAL ANALYSIS OF 70 CASES IN NEONATAL MECONIUM ASPIRATION SYNDROME
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摘要 1989年1月~1990年8月在我院分娩5,446名活产婴,有胎粪污染者114例(2.1%)。有MAS症状者70例,发病率为1.3%。在6小时内发病者有46例。足月儿、过期产儿占68例,出生体重均>2500g。出生时窒息需复苏者22例。主要症状有青紫、气急、呼吸困难及肺部湿性罗音。胸片51例见有两肺播散着粗颗粗状或斑片状影及过透亮区。病死率为4.3%。文章就发病率、预防及治疗进行了讨论。 FromJanuary, 1989 to August, 1990, 5446 living babies were horn in the hospital, 114 cases (2.1%) of neonate born through meconium sta- ineda mniotic fluid have meconium in their trachea.The incidence of symto- matic meconium aspiration was 70 cases (1.3%). Among them 46 cases ap- peared within6 hours after delivery. Of the 70 cases 68 were term and pos- mature infants and their body weight during delivery were more than 2500g. 22 had asphyxia requiring resuscitation at birth. The infants showed cyano- sis, tachypnoea, respiratory disress and 6 had rales in the lung. The chest X-Ray showed the 51 cases had patchy crease of coarse and irregular opaci- ties interspersed with hyperlucent areas.The mortality rate was 4.3%. The incidence, prevention and management of the disease were discussed.
作者 肖丽云
出处 《中国新生儿科杂志》 CAS 1992年第1期8-10,45,共4页 Chinese Journal of Neonatology
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