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1997年7月～1999年6月我院产科发生新生儿窒息154例,轻度窒息123例,重度窒息31例,死亡8例,病死率5.19％。窒息发生因素以脐带异常、胎位异常及胎盘功能不全占前3位。窒息程度与胎儿窘迫,窒息后多器官系统损害及新生儿死亡关系密切(P<0.05,P<0.01),且阴道助产窒息发生率较高。强调加强产前保健,防治产科并发症、合并症,把好产程处理这一关,密切产科、儿科合作,提高复苏质量,缩短窒息时间,减轻缺氧缺血性损伤的重要性。
From July 1997 to June 1999, 154 cases of neonatal asphyxia in obstetric department of our hospital, 123 cases of mild asphyxia, 31 cases of severe asphyxia, 8 cases of death, the case fatality rate was 5.19%. Asphyxia factors to abnormal umbilical cord, fetal abnormalities and placental dysfunction accounted for the first three. The degree of asphyxia was closely related to fetal distress, multiple organ system damage after asphyxia and neonatal death (P <0.05, P <0.01), and the incidence of vaginal birth asphyxia was higher. Emphasis on strengthening prenatal care, prevention and treatment of obstetric complications, complications, the birth control process, close obstetric and pediatric cooperation, improve the quality of recovery, shorten the time of asphyxia and reduce the importance of hypoxic-ischemic injury.