Xu Y
PUMC Hospital, Beijing.
Zhongguo Yi Xue Ke Xue Yuan Xue Bao. 1990 Oct;12(5):388-91.
366 cases of neonatal asphyxia were studied during 1983-1988. Different management regimes were used for neonatal asphyxia of different causes. The occurrence of neonatal asphyxia decreased from 4.9% in 1983 to 3.0% in 1988 in this hospital. Conversely, the occurrence of high risk pregnancy increased from 76.2% to 80.9% during the same period. Umbilical cord problems, hypertonic and too frequent uterine contractions, placental insufficiency and prolonged labor were the main causes of neonatal asphyxia. Use of magnesium sulphate for hypertonic contraction, correct estimation of fetal weight, and early diagnosis and selection of indications of C.S. are important for the prevention of neonatal asphyxia. Antepartum diagnosis and management of cord problems have already been discussed.
对1983年至1988年期间的366例新生儿窒息病例进行了研究。针对不同病因的新生儿窒息采用了不同的处理方案。该医院新生儿窒息的发生率从1983年的4.9%降至1988年的3.0%。相反,同期高危妊娠的发生率从76.2%升至80.9%。脐带问题、子宫收缩过强及过频、胎盘功能不全和产程延长是新生儿窒息的主要原因。使用硫酸镁治疗子宫收缩过强、正确估计胎儿体重以及早期诊断和选择剖宫产指征对预防新生儿窒息很重要。产前对脐带问题的诊断和处理已进行了讨论。