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惠灵顿医院二年半间出生的6,958例新生儿中,有758例(10.9%)发现羊水中有胎粪污染。120例婴儿在出生后因疑有胎粪吸入或其他并发症而入新生儿监护病房观察和治疗,其中66例经直接喉镜检查发现声带下有胎粪而确诊为胎粪吸入。从120例患婴及其母亲的病历,本文分析了可能与胎粪吸入有关的因素。根据羊水中胎粪的密度高低而人为分为“稠”和“稀”以表示胎粪量的多少。羊水粪染时抢救方法是在婴儿的头刚娩出或躯干娩出前,轻擦婴儿的口、鼻并用吸管经每侧鼻孔直到鼻咽水平进行吸取或经口、喉咽部吸取。常根据程度轻重,将胎粪吸入分为:①致命:因胎粪吸入严重,使用呼吸机无效。②严重:需长时间使用呼吸机及有气胸、脑水
Of the 6,958 newborns who were born in Wellington Hospital in two and a half years, 758 (10.9%) were found to have meconium in the amniotic fluid. One hundred and twenty infants were admitted to the neonatal intensive care unit for observation and treatment of suspected meconium aspiration or other complications after birth. Sixty-six of them were diagnosed as meconium as inhalation by direct laryngoscopy with meconium detected under the vocal cords. From the medical records of 120 infants and their mothers, this paper analyzes the possible factors associated with meconium aspiration. According to the level of meconium in amniotic fluid density and artificially divided into “thick” and “thin” to indicate how much meconium. Amniotic fluid meconium-based rescue method is the baby’s head just delivered or trunk before delivery, gently rub the baby’s mouth, nose and pipette through each nostril until the level of the nasopharynx or oral and throat pharyngeal suction. Often based on the degree of severity, the meconium inhalation is divided into: ① fatal: due to severe inhalation of meconium, the use of ventilator invalid. ② serious: a long time to use ventilator and pneumothorax, hydrocephalus