摘要
分析100例胎儿窘迫病例,评价听诊胎心率和观察羊水变化在胎儿窘迫诊断中的价值。并结合新生儿Apgar评分,探讨胎儿窘迫的病因及处理。结果表明:脐带异常和妊高征是发生胎儿窘迫的主要原因。传统的监护方法仍是临床诊断胎儿窘迫的重要方法,胎心监护仪在胎儿窘迫病例中的使用并未使新生儿窒息减少。为减少胎儿窘迫发生率,降低围产儿死亡率,应加强孕期保健,及时发现病因并予以治疗。对胎儿窘迫病例应选择适当分娩方式,尽可能缩短产程。
We have analysed I00 cases with fetal distress ,evaluated the auscultation of the rhythm of the heart and the changes of amniotic fluid in combination with the markings of newborns (Apgar),so as to approach the causes and treatment of the disease. The results indicated: the main cause of fetal distress is abnormal umbilical cords and pregnancy-induced hypertension (PIH). Traditional clinical observation is still the important method to treat fe-tal distress. Besides , the fetal heart monitor does not reduce the suffocations of the newborns. The antenatal care must be strengthened and timely treatment is needed so as to re-duce the incidence of fetal distress and the death rate of newborns. The stages of labour must be cut short and the due means of parturition should be chosen.
