新生儿猝死综合征5例分析

Clinical analysis of neonate sudden death syndrome of 5 cases

目的 :探讨新生儿猝死综合征发生的原因。方法 :回顾分析 1990年 1月～ 2 0 0 0年 12月我院发生的 5例新生儿猝死综合征的分娩情况、新生儿情况及新生儿死亡时的临床表现。结果 :5例新生儿猝死综合征中男婴占多数 ,死亡时间为清晨 4～6时 ,多发生在睡眠中 ,发病突然 ,一发现异常即无呼吸 ,抢救不易成功。结论 :新生儿猝死综合征的病因目前尚不清楚 ,可能与新生儿呼吸暂停、胃肠返流及呼吸中枢不成熟有关。目前对新生儿猝死无有效的预防措施 ,应强调对新生儿生命体征的监护 。

Objective:To disuss the causes of neonate sudden death.Methods:The conditions of both the delivery and neonate of 5cases in this hospital from Jan 1990 to Nov 2000 were analyzed retrospectively.Results:The boy is in the majority.They died at 4 am to 6 am while they were sleeping.The disease is very acute and they were found a pnea when noticing the abnomal conditions.Thus the authors could not rescue successfully.Conclusion:The pathogeny of neonate sudden death syndrome remains unknown.It is likely to relate to apnea of newborn,stomach-bowel regur gitation and the juvenility of respiratory center.So the custody of vital signs for neonate should be increased to prevent apnea and stomach-bowel regurgitation.