Hochuli E, Nagl F, Dubler O
Z Geburtshilfe Perinatol. 1975 Apr;179(2):112-8.
A critical study based on 3291 analyses of blood from the umbilical cord, and the consequences. In routine analyses acidosis (pH 7.10) was found in 2.03%. This percentage is considered too high. Protracted labor carries special risks. Conventional and intensive care supervision, when risks are foreseen, are often ineffective, since 48.8% of acidoses were recognized only post partum. More general intensive observation with internal cardiotocography and microinvestigations of blood appears to be the only way in which the frequency of acidosis could be decisively reduced.
一项基于对3291份脐带血分析及相关后果的批判性研究。在常规分析中,酸中毒(pH 7.10)的发生率为2.03%。这一比例被认为过高。产程延长存在特殊风险。当预见到风险时,常规和重症监护监督往往无效,因为48.8%的酸中毒情况是在产后才被发现的。采用心内胎儿监护和血液微观检查进行更全面的强化观察,似乎是能够决定性降低酸中毒发生率的唯一方法。