39例Apgar评分确诊新生儿窒息的复苏的临床分析

Clinical analysis of diagnosing 39 cases of resuscitation after asphyxia of the newborn by Apgar score

目的：分析Apgar评分确诊新生儿窒息病例的复苏措施的制定与执行效果。方法：对39例新生儿Apgar评分情况、窒息原因，抢救过程进行回顾性分析。结果：39例患儿Apgar评分4～7分轻度窒息32例，0～3分重度窒息7例，其中0分1例。经过医护人员的积极治疗，38例抢救成功，1例死亡。结论：新生儿重度窒息时复苏贵在迅速、准确、有效。新生儿窒息的发生与脐带、早产、产程异常、胎膜早破、妊高征等因素有关，39例患儿中脐带因素30例，早产4例，妊高征、胎膜早破各2例，产程异常1例。

Objective： To analyze formulate of recovery measures and effect of implementation of neonatal asphyxia by Apgar score. Methods： To analyze 39 cases of Apgar score of newborn, reason of asphyxia, process of rescue. Result： In 39 cases patient of Apgar score, 4-7 point for 32 cases of mild asphyxia, 0-3 point for 7 cases of severe asphyxia, 0 point for 1 case. After treatment, 38 cases of rescued, 1 case of death. Conclusion： When severe asphyxia of newborn, the recovery should to rapid, accurate, effect. The occurrence of asphyxia of the newborn and the umbilical cord, premature birth, birth process unusual, premature rupture of membranes, pregnancy induced hypertension related, in 30 cases of patients,30 cases of cord factor, 4 cases of premature, 2 cases of PIH, 2 cases of premature rupture of membranes, 1 case of abnormal birth process.