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新生儿缺氧缺血性脑病(HIE)是新生儿期较常见的中枢神经系统病变,现总结我院儿科1990年10月—1992年9月82例HIE,报告如下。1 临床资料本组82例。均符合1989年10月济南会议HIE诊断标准:(1)具有明确的围产期缺氧史,特别是围产期重度窒息,Apgar评分1’<3分,5’<6分,经抢救10’后始有自主呼吸或需用气管插管正压呼吸2’以上者。(2)生后12小时内出现以下异常神经症状:意识障碍,如过度兴奋(肢体颤抖、睁眼时间长、凝视等)、嗜睡、昏睡甚至昏迷。肢体肌张力改变,如张力减弱、松软。原始反射异常,如拥抱反射过分活跃,减
Neonatal hypoxic-ischemic encephalopathy (HIE) is a more common neonatal period of central nervous system disease, now summarize the pediatric hospital in October 1990 - September 1992 82 cases of HIE, the report is as follows. 1 clinical data in this group of 82 cases. All of them meet the HIE diagnostic criteria of Jinan meeting in October 1989: (1) Have a clear history of perinatal hypoxia, especially severe perinatal asphyxia, Apgar score 1 ’<3, 5’ <6, after rescue 10 After the beginning of spontaneous breathing or need to breathe intubation positive pressure more than 2 ’. (2) The following abnormal neurological symptoms occur within 12 hours after birth: disturbance of consciousness, such as over-excitement (trembling limbs, long open eyes, gaze, etc.), drowsiness, lethargy and even coma. Limb muscle tension changes, such as tension weakened, soft. Abnormal reflection of the original, such as embracing reflection over-active, minus