Hageman J R, Conley M, Francis K, Stenske J, Wolf I, Santi V, Farrell E E
Department of Pediatrics, Evanston Hospital, IL 60201.
J Perinatol. 1988 Spring;8(2):127-31.
A 1-year prospective survey of obstetric and pediatric management of meconium staining of the amniotic fluid in 464 patients was undertaken. Pharyngeal suctioning before delivery was performed using bulb syringe (N = 130), De Lee suction catheter (N = 186), or both (N = 98); endotracheal intubation after delivery was also done in 413 instances. Using any of the three suctioning techniques, no differences were seen in Apgar scores, respiratory rates, presence or absence of meconium on or below the vocal cords, or development of meconium aspiration syndrome (MAS). If meconium was present on the vocal cords, it was present below the vocal cords in 76% of the cases. If no meconium was visualized, it was found below the vocal cords in only 7% of the cases. Of the 142 infants with meconium below the vocal cords, 10% developed MAS and all 14 survived.
对464例羊水胎粪污染患者的产科和儿科处理进行了为期1年的前瞻性调查。分娩前使用球囊注射器（n = 130）、德利吸引导管（n = 186）或两者同时使用（n = 98）进行咽部吸引；413例患者在分娩后也进行了气管插管。使用这三种吸引技术中的任何一种，在阿氏评分、呼吸频率、声带及以下是否存在胎粪或胎粪吸入综合征（MAS）的发生方面均未观察到差异。如果声带上存在胎粪，76%的病例在声带以下也存在胎粪。如果未观察到胎粪，则仅7%的病例在声带以下发现胎粪。在142例声带以下有胎粪的婴儿中，10%发生了MAS，且全部14例存活。
