极重度出生窒息的结局
Outcome of very severe birth asphyxia.
作者信息
Scott H
出版信息
Arch Dis Child. 1976 Sep;51(9):712-6. doi: 10.1136/adc.51.9.712.
Abstract
The aim of this study was to establish the outcome of very severe birth asphyxia in a group of babies intensively resuscitated at birth. 48 infants, born between 1966 and 1971 inclusive, were selected; 15 were apparently stillborn and 33 had not established spontaneous respirations by 20 minutes after birth. One-half of them died, but 3 to 7 years later three-quarters of the survivors are apparently normal. Later handicap was associated with factors leading to prolonged partial intrapartum asphyxia, while acute periods of more complete asphyxia were not necessarily harmful.
摘要
本研究的目的是确定一组出生时接受强化复苏的严重出生窒息婴儿的预后情况。选取了1966年至1971年（含）期间出生的48名婴儿；其中15名明显为死产，33名在出生后20分钟仍未建立自主呼吸。他们中有一半死亡，但3至7年后，四分之三的幸存者看起来正常。后期的残疾与导致产程中部分窒息时间延长的因素有关，而更完全窒息的急性期不一定有害。
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本文引用的文献
1
Asphyxia pallida responding to endotracheal insufflation after 140 minutes.苍白窒息在140分钟后对气管内吹气有反应。
Br Med J. 1955 Apr 30;1(4921):1071. doi: 10.1136/bmj.1.4921.1071.
2
PROGNOSTIC VALUE OF NEUROLOGICAL SIGNS IN THE NEWBORN.新生儿神经系统体征的预后价值
Proc R Soc Med. 1965 Jan;58(1):3-4. doi: 10.1177/003591576505800102.
3
THE APGAR SCORE AS AN INDEX OF NEONATAL MORTALITY. A REPORT FROM THE COLLABORATIVE STUDY OF CEREBRAL PALSY.作为新生儿死亡率指标的阿氏评分。脑性瘫痪协作研究报告。
Obstet Gynecol. 1964 Aug;24:222-30.
4
ETIOLOGIC FACTORS IN ATHETOTIC CEREBRAL PALSY.
Arch Neurol. 1963 Oct;9:400-6. doi: 10.1001/archneur.1963.00460100088010.
5
Further observations on the newborn scoring system.关于新生儿评分系统的进一步观察
Am J Dis Child. 1962 Oct;104:419-28. doi: 10.1001/archpedi.1962.02080030421015.
6
The residual effects of neonatal asphyxia.新生儿窒息的后遗症。
J Obstet Gynaecol Br Emp. 1959 Oct;66:748-52. doi: 10.1111/j.1471-0528.1959.tb01920.x.
7
The ability of young mammals to withstand total oxygen lack.
Br Med Bull. 1961 May;17:144-8. doi: 10.1093/oxfordjournals.bmb.a069889.
8
Responsiveness and resuscitation of the newborn. The use of the Apgar score.
Am J Dis Child. 1961 Jun;101:713-24. doi: 10.1001/archpedi.1961.04020070027006.
9
Protracted foetal and neonatal asphyxia.
Lancet. 1958 May 10;1(7028):999-1000. doi: 10.1016/s0140-6736(58)91803-8.
10
Treatment of asphyxia neonatorum.
Lancet. 1953 Nov 14;265(6794):1001-4. doi: 10.1016/s0140-6736(53)91305-1.
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