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胎粪吸入综合征:一项临床研究。

MECONIUM ASPIRATION SYNDROME : A CLINICAL STUDY.

作者信息

Behera M K, Kulkarni S D, Gupta R K

机构信息

Classified Specialist (Pediatrics), MH Secunderabad 500 015.

PMO. Central Air Command Allahabad, Bamrauli, UP 211012.

出版信息

Med J Armed Forces India. 1998 Jan;54(1):19-20. doi: 10.1016/S0377-1237(17)30399-4. Epub 2017 Jun 26.

Abstract

Forty two babies with Meconium aspiration syndrome managed in neonatal intensive care unit of a service hospital were analysed. Incidence was 1.7 per cent. Twelve babies were delivered by caserean section and 30 babies by vaginal route. Seventeen deliveries were conducted by team of gynaecologists, pediatrician and nursing staff whereas 25 deliveries were conducted by nursing staff alone. Out of total babies with meconium aspiration syndrome, thin meconium detected in 9 and thick meconium detected in 33 babies during delivery. Five babies were preterm and none were less than 35 weeks of gestation. Pneumonia detected on right side in 24 patients, on left side in 6, and both sides in 12 patients. Twenty seven babies had asphyxia at birth, 13 babies had seizure and 6 babies had air leak syndrome and overall mortality was 13 (31%).

摘要

对一家服务医院新生儿重症监护病房收治的42例胎粪吸入综合征患儿进行了分析。发病率为1.7%。12例患儿通过剖宫产分娩,30例患儿通过阴道分娩。17例分娩由妇科医生、儿科医生和护理人员团队进行,而25例分娩仅由护理人员进行。在所有胎粪吸入综合征患儿中,分娩时9例检测到稀薄胎粪,33例检测到浓稠胎粪。5例患儿为早产儿,且无孕周小于35周者。24例患者右侧检测到肺炎,6例左侧检测到肺炎,12例双侧检测到肺炎。27例患儿出生时窒息,13例患儿有惊厥,6例患儿有空气泄漏综合征,总体死亡率为13例(31%)。

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