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[巴黎地区二级医疗中心的患者管理组织:一项前瞻性调查]

[Organization of patient management in level II centers in the Paris area: a prospective survey].

作者信息

Bolot P, Guérin F, Bolie S, Saillant A, Castel C, Denavit M-F, Benbrik N, Alissa K, Séaume H, Ropert J-C, de Gennes C, de Mongolfier I, Boissinot C, Guillot F, Zupan-Simunek V

机构信息

Service de Pédiatrie, Hôpital Robert-Ballanger, 93602 Aulnay-sous-Bois Cedex.

出版信息

J Gynecol Obstet Biol Reprod (Paris). 2003 Feb;32(1 Suppl):1S106-10.

PMID:12592173
Abstract

Perinatal asphyxia is a common emergency for both obstetricians and pediatricians. A prospective study was conducted in 14 maternity hospitals (type II centres) in the Paris suburbs in order to assess pediatric activity and neonatal morbidity associated with supposed perinatal asphyxia in term newborns. Pediatricians were called in at birth very frequently: 1/20 deliveries. Intubation and/or resuscitation procedures were needed in 20% of cases and 20% of infants were referred to a neonatal unit for birth asphyxia or associated pathology. Moderate encephalopathy was observed in 1.5% of all term newborns who needed medical intervention for supposed birth asphyxia.

摘要

围产期窒息对产科医生和儿科医生来说都是常见的紧急情况。在巴黎郊区的14家妇产医院(二级中心)进行了一项前瞻性研究,以评估与足月儿疑似围产期窒息相关的儿科活动和新生儿发病率。儿科医生在出生时被频繁呼叫:每20次分娩就有1次。20%的病例需要插管和/或复苏程序,20%的婴儿因出生窒息或相关病理情况被转诊至新生儿病房。在所有因疑似出生窒息需要医疗干预的足月儿中,1.5%观察到中度脑病。

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[Newborn asphyxia at term during delivery].分娩时足月新生儿窒息
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Does early referral to tertiary care decrease the mortality related to birth asphyxia?早期转诊至三级医疗机构是否能降低与出生窒息相关的死亡率?
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