新生儿缺氧缺血性脑病治疗体会

Treatment Experience of Neonatal Hypoxic-ischemic Encephalopathy

目的探讨新生儿缺氧缺血性脑病的临床特点和治疗方法。方法选择本院2009年5月至2011年10月收治的32例新生儿缺氧缺血性脑病患儿为研究对象,分析发病原因、窒息程度、临床表现、治疗方法及早期干预的效果。结果治愈28例,好转3例,转院1例。结论新生儿缺氧缺血性脑病的主要原因是第二产程迟滞、妊娠高血压、脐绕颈、胎膜早破等,采取有效的治疗措施,早期神经保护干预,能有效降低病死率和致残率。

Objective To investigate the clinical characteristics and treatment methods of neonatal hy-poxic-ischemic encephalopathy （HIE） . Methods 32 heonatus with HIE were treated in our hospital between May 2009 and October 2011,analysis of the etiology,degree of asphyxia,clinical manifestation,treatment,and the effects of early theatments. Results 28 cases were cure,3 cases were mend,and 1 patient was transfer to another hospital. Conclusion Prolonged second stage of labor,hypertension of pregnancy,umbilical cord a-round neck premature rupture of membrane are the main cause of HIE. To take the best effective treatment method and intervene on Neuroprotective as early as possible can achieve the purpose of reducing morbidity and mortality efficiently.