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我院1994年1月至1997年3月坚持新生儿科医师进产房与产科合作,对3584例高危新生儿按ABCDE方案复苏,结果仅需A步复苏者3034例,B步477例,C步59例,D步14例。同期活产分娩8101例,阿氏评分≤7分501例,窒息发生率6.18％。其中0～3分70例,死亡14例,病死率2.79％。使我院新生儿窒息病死率及围产新生儿死亡率由未实行新法复苏时的1992年的8.33％(10/120例)及9.87‰(17/1722例)分别下降至2.79％(14/501例)及2.96‰(24/8101例),我们体会A、B、C三步为新法复苏的核心环节,产科、儿科医师合作开展新法复苏,是降低新生儿窒息病死率甚至围产新生儿死亡率的关键而有效措施。
Our hospital from January 1994 to March 1997 adhere to the neonatal physician into the delivery room and obstetric cooperation, 3584 cases of high-risk neonatal ABCDE program recovery, the results only A recovery of 3034 cases, 477 cases of B, C 59 For example, D-step in 14 cases. In the same period, 8,101 live birth deliveries, Asperger’s score ≤ 7 points and 501 cases, and asphyxia incidence was 6.18%. Of which 0 to 3 minutes and 70 cases, 14 patients died, the fatality rate was 2.79%. Asphyxia mortality and perinatal neonatal mortality in our hospital decreased from 8.33% (10/120 cases) and 9.87% (17/1722 cases) in 1992 to 2.79% (14 / 501 cases) and 2.96 ‰ (24/8101 cases). We realized that A, B and C are the three key steps in the recovery of the new law. The cooperation of obstetricians and pediatricians to revive the new law is to reduce neonatal asphyxia mortality and even perinatal newborn The key and effective measure of mortality.