新生儿缺血氧性脑病与低钠血症(附72例分析)

新生儿缺血缺氧性脑病(HIE)是新生儿窒息后的严重并发症,病死率和后遗症发生率较高,正确认识和合理处理患儿血电解质紊乱状况对该病的治疗和转归极其重要.

早期干预对新生儿缺氧缺血性脑病精神、运动发育的影响

目的评价早期干预对新生儿缺氧缺血性脑病（ HIE）精神运动发育的影响。方法 HIE患儿 32例随机分为干预组（ 18例）和常规育儿组（ 14例）。干预组依据 0～ 2岁早期教育大纲进行干预，内容包括运动、认知、语言和社会能力。早期干预是通过家长进行。结果早期干预组 1.5岁精神发育指数（ MDI）比常规育儿组平均高 10.9分（ P< 0.01） ;运动发育指数（ PDI）高 5.9分 (P< 0.05)。结论早期干预可促进 HIE患儿智能发育 ,有利于防治其智能低下。

缺血缺氧性脑病治疗不当医疗损害鉴定1例

本文通过分析1例缺血缺氧性脑病后治疗不当导致的医疗损害案例分析,遵循医学科学原理及诊疗常规、规范,并按照法医学因果关系判断准则及所涉及的相关法律、法规,共同探讨关于此类案件的分析思路,提高医疗损害鉴定的严谨性及公正性.

新生儿缺血和氧性脑病的护理体会

目的探讨新生儿缺血和氧性脑病（HIE）的有效护理方法。方法分析我院2003年1月-2006年3月收治的缺血缺氧性脑病200例患儿。结果通过治疗护理，本组200例HIE患儿，治愈率达85％。结论控制惊厥，降低颅压、减轻脑水肿。维持体温在正常范围，纠正缺氧，维持正常的血糖，加强基础护理，防止并发症；注意保暖和喂养可提高HIE患儿的治愈率。HIE患儿重在预防，早期治疗可减少神经元的死亡，同时疗程要足够。

Observation on Therapeutic Effect in Treatment of Hypoxemic Infantile Encephalopathy by Acupuncture plus Hyperbaric Oxygen

Objective： To investigate the therapeutic effect of acupuncture plus hyperbaric oxygen in treating hypoxemic infantile encephalopathy （HIE）. Methods： Fifty-nine HIE children were divided into treatment （33 cases） and control （26 cases） groups. Both groups were treated by basic therapy of removing acidosis, controlling cerebral edema and convulsion, and intravenous drip of cerebrolysin or citicoline. The treatment group was treated by acupuncture plus hyperbaric oxygen and the control group was treated by hyperbaric oxygen only. Results： The total effective rate was 97.0% in the treatment group and 73.1% in the control group. Statistical analysis showed a highly significant difference （P〈0.01）. Conclusion： Acupuncture plus hyperbaric oxygen was better than simple hyperbaric oxygen in treating HIE. Its main manifestations were shortening the course of disease, increasing cure rate, decreasing death rate and reducing the occurrence of sequelae. HIE children should be treated as early as possible.