摘要
1993年4月至5月在我院产房共出生275名新生儿,其中21例有围产期窒息的临床表现,并经CT证实为新生儿缺氧缺血性脑病(HIE).根据资料分析了HIE的发病原因,主要是围产期窒息.窒息的因素以胎头吸引、脐带因素,宫内窒迫、胎位不正、妊高症、产程异常占多数.因而产前检查,加强胎儿监护,产时指导非常重要.通过儿科医师驻产房前后对HIE的确诊率对比,充分证明了儿科医师驻产房监护对HIE早期诊断的重要性.
Among 275 newborn babies born in our hospital from April to May in 1993, 21 cases of hypoxic ischemic encephalopathy(HIE) were established by the clinical symptom of prenatal asphyxia and CT scans. The results demonstrated that HIE was closely related to the prenatal asphyxia. Most of the reasons were vacuum extraction , abnormal umbilical cord, fetal distress, malposition, edema - proteinuria - hypertension syndrome (EPHS) and abnormal stage of labor. It's important to streng that the antenatal care, fetal monitoring and direction during labor comparing the diagnostic rate in HIE between statues in which pediatrician was and wasnt in labarroom. It is proved that the former was very important method to promote early diagnostic rate.
