Low J A
Department of Obstetrics and Gynaecology, Queen's University, Kingston, Ontario, Canada.
Am J Obstet Gynecol. 1988 Nov;159(5):1235-40. doi: 10.1016/0002-9378(88)90456-5.
The diagnosis of fetal asphyxia requires a blood gas and acid-base assessment demonstrating a significant metabolic acidosis. However, the fetus may tolerate an asphyxial insult without central nervous system injury because of the fetal cardiovascular adaptation to hypoxemia. Prediction of the significance of an asphyxial insult to the fetus requires a measure of both the duration and degree of the asphyxia as well as an expression of the fetal compensatory response to the asphyxia.
胎儿窒息的诊断需要进行血气和酸碱评估，以证明存在显著的代谢性酸中毒。然而，由于胎儿心血管系统对低氧血症的适应性，胎儿可能在没有中枢神经系统损伤的情况下耐受窒息性损伤。预测窒息性损伤对胎儿的影响程度，需要衡量窒息的持续时间和程度，以及胎儿对窒息的代偿反应。
