目的 探讨窒息新生儿高血糖与pH值及预后的关系。方法 用己糖激酶法测定45例窒息新生儿入院时血糖及动脉血气，若异常，则每12 h复查1次。结果 45例窒息新生儿有18例伴有高血糖，发生率40%；高血糖伴酸中毒15例，发生率83.3%；高血糖合并2个器官功能不全与多器官功能不全者，死亡率达22.2%。结论 窒息新生儿血糖越高、酸中毒越严重，高血糖、酸中毒合并有多器官功能不全者，预后不佳。 Objective To investigate the relationship between hyperglycemia and pH value and prognosis in neonates with asphyxia. Methods The blood glucose and arterial blood gas of 45 asphyxiated newborns on admission were measured by hexokinase method. If abnormal, they were checked every 12 hours. Results Among the 45 asphyxiated newborns, 18 cases were associated with hyperglycemia, the incidence rate was 40%; 15 cases were hyperglycemia with acidosis, the incidence rate was 83.3%; hyperglycemia with two organ dysfunction and multiple organ dysfunction, the mortality rate reached 22.2%. Conclusions Asphyxia newborn blood glucose, the more serious acidosis, hyperglycemia, acidosis with multiple organ dysfunction, the prognosis is poor.