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[新生儿阿氏评分及其对新生儿期病程的预后价值]

[The apgar value of the newborn and its prognostic value for the course of the neonatal period].

作者信息

Issel E P, Eggers H, Plath C, Toẅe J, Voigt M

出版信息

Zentralbl Gynakol. 1976;98(26):1618-25.

PMID:1020519
Abstract

The prognostic value of the postnatal Apgar-score to the course of the neonatal period. It is impossible to determine exactly vital functions of the infant postnatal sole with a number. However we are the opinion, that Apgar-score is valid for the first clinical classification of the neonate. We studied 6780 newborn from 6 large towns of the GDR. Two thirds of the cases were selected with risk. The Apgar-score from 1 minute postnatal was correlated to findings of clinical investigation, diagnostic and therapy during the neonatal period from 2 hours postnatal to 8 days. Interesting correlations are found between the Apgar-score from 1 minute postnatal to: color of the skin (pale or pink), cyanosis, type of respiration, stridor, posture, crying, X-ray findings of the lung, need of buffer and oxygen therapy and neonatal death. Summarizing we found correlations of clinical value between the postnatal Apgar-score and the later respiratory function.

摘要

出生后阿氏评分对新生儿期病程的预后价值。仅用一个数字不可能确切判定婴儿出生后的生命功能。然而我们认为,阿氏评分对新生儿的首次临床分级是有效的。我们研究了来自民主德国6个大城市的6780例新生儿。其中三分之二的病例是有风险的。出生后1分钟的阿氏评分与出生后2小时至8天新生儿期的临床检查结果、诊断及治疗情况相关。发现出生后1分钟的阿氏评分与以下方面存在有趣的相关性:皮肤颜色(苍白或粉红色)、发绀、呼吸类型、喘鸣、姿势、哭声、肺部X线检查结果、缓冲液及氧气治疗需求以及新生儿死亡。总结而言,我们发现出生后阿氏评分与后期呼吸功能之间存在具有临床价值的相关性。

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