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新生儿缺氧缺血性脑病(HIE)是围生期新生儿因缺氧引起脑部病变,病情重,病死率高,重者在新生儿早期死亡或造成不可逆的脑损害,产生永久性神经功能障碍如智能低下、脑性瘫痪、癫癎等,严重危害儿童生活质量,如何正确治疗,改善预后,是备受重视的研究课题。我科1998年1月-2003年1月收治HIE264例综合治疗,分析报告如下。1 临床资料1.1一般资料 本组264例均符合HIE诊断标准与分度标准。男176例,女88例:胎龄<37周52例,37-42周193例,>42周19例;病程最短1h,最长21d。体重<2500g48例,2500-4000g210例,>4000g15例。1.2临床特点 HIE临床程度不一,表现各异,产时窒息
Neonatal hypoxic-ischemic encephalopathy (HIE) is a perinatal neonatal hypoxia-induced brain lesions, severe illness, high mortality, severe neonatal early death or irreversible brain damage, resulting in permanent nerve Disabilities such as mental retardation, cerebral palsy, epilepsy, etc., seriously endanger the quality of life of children, how to correct treatment, improve prognosis, is a research topic that has received much attention. Our department January 1998-January 2003 admitted HIE 264 cases of comprehensive treatment, the analysis report is as follows. 1 Clinical data 1.1 General Information 264 cases of this group are in line with HIE diagnostic criteria and indexing standards. There were 176 males and 88 females with 52 gestational age <37 weeks, 193 cases 37-42 weeks and 19> 42 weeks. The shortest duration was 1 hour and the maximum was 21 days. Weight <2500g48 cases, 2500-4000g210 cases,> 4000g15 cases. 1.2 Clinical features HIE clinical different levels, different performance, obstetric delivery