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目的探讨以维持PaO2及SaO2的正常,维持心率、血压及脑灌注压的正常,维持血糖电解质平衡以及控制惊厥,控制颅内压增高,控制脑干症状为内容的“三维持”“三对症”综合疗法对新生儿颅内出血的疗效。方法采用“三维持”“三对症”综合疗法治疗新生儿颅内出血95例,并与采用常规治疗的46例新生儿颅内出血病例进行了比较。结果观察组存活率91.01%,病死率8.99%。对照组存活率76.74%,病死率23.26%,两组差异具有统计学意义(P<0.05)。结论“三维持”“三对症”综合疗法可有效提高新生儿颅内出血的存活率,降低病死率。
Objective To investigate the relationship between the maintenance of PaO2 and SaO2, the maintenance of normal heart rate, blood pressure and cerebral perfusion pressure, the maintenance of blood glucose and electrolyte balance, and the control of convulsions, control of increased intracranial pressure and control of brainstem symptoms. Three symptomatic “The effect of comprehensive therapy on neonatal intracranial hemorrhage. Methods 95 cases of neonatal intracranial hemorrhage were treated with ”three-dimensional“ and ”three-symptomatic“ comprehensive therapy, and compared with 46 cases of neonatal intracranial hemorrhage treated with conventional therapy. Results The survival rate of observation group was 91.01%, mortality rate was 8.99%. The survival rate of the control group was 76.74% and the case fatality rate was 23.26%. The difference between the two groups was statistically significant (P <0.05). Conclusion ”Three-dimensional“ ”three symptomatic " combination therapy can effectively improve the survival rate of neonatal intracranial hemorrhage and reduce the mortality.