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缺氧缺血性脑病(HIE)是造成婴幼儿神经系统伤残最常见的原因之一.本文报告68例HIE患儿,就影响其转归的有关因素分析如下.68例中男33例,女35例;孕周37周～42周65例,>42周3例;体重<2500者12例,2500～3999g者55例,>4000g者1例;分娩方式自娩33例,产钳3例,胎吸4例,剖腹产28例;高危因素有宫内窘迫和羊水污 染Ⅱ°以上32例,脐绕颈2周者10例,妊高症13例,早破水8例,第二产程延长1例.根据1996年全国新生儿杭州会议制定的HIE诊断标准分类,HIE轻度36例,中度17例,重度15例.有42例曾作CT检查,提示轻度HIE30例,中重度12例,蛛网膜下腔出血26例,与临床表现一致.经统计学处理后可以看出,合并有宫内窘迫、羊水污染重、阿氏评分
Hypoxic-ischemic encephalopathy (HIE) is one of the most common causes of neurological disability in infants and young children.In this paper, 68 cases of HIE were reported, the factors affecting their prognosis are as follows: 68 cases of 33 males, Female 35 cases; gestational age 37 weeks ~ 42 weeks 65 cases,> 42 weeks in 3 cases; body weight <2500 in 12 cases, 2500 ~ 3999g in 55 cases,> 4000g in 1 case; , 4 cases of fetal suction, 28 cases of caesarean section; high risk factors were intrauterine distress and amniotic fluid contamination in more than Ⅱ ° 32 cases, 10 cases of umbilical cord 2 weeks, pregnancy-induced hypertension in 13 cases, 8 cases of premature rupture of water, the second stage of labor extended 1 According to the diagnostic criteria of HIE made by the National Neonatal Hangzhou Conference in 1996, there were 36 mild HIE cases, 17 moderate ones and 15 severe ones.Among 42 cases, there were 30 cases of mild HIE and 12 cases of mild HIE , 26 cases of subarachnoid hemorrhage, consistent with the clinical manifestations.Statistical analysis can be seen with intrauterine distress, amniotic fluid pollution, Ah score