临床胎儿窘迫和高危病例中的胎儿酸碱状态。
Foetal acid-base status in clinical foetal distress and high risk cases.
作者信息
Lee K H
出版信息
Postgrad Med J. 1972 Feb;48(556):91-4. doi: 10.1136/pgmj.48.556.91.
The acid-base balance in 307 Chinese patients in labour was studied in Tsan Yuk Hospital, Hong Kong over a 15-month period. Fifty-six of these were normal cases, 200 cases exhibited clinical signs of foetal distress and the other fifty-one were high risk cases. The results showed that cases of clinical foetal distress had a significantly lower foetal pH than that in the normal control group. Of the different signs of clinical foetal distress, meconium was the least important and foetal tachycardia appeared to be more significant than the others. Cases of postmaturity and uterine inertia also gave a lower foetal pH than normal. It is concluded that foetal blood sampling is indicated in these types of cases.
在香港赞育医院，对307名中国产妇的酸碱平衡进行了为期15个月的研究。其中56例为正常病例，200例有胎儿窘迫的临床体征，另外51例为高危病例。结果显示，临床胎儿窘迫病例的胎儿pH值明显低于正常对照组。在临床胎儿窘迫的不同体征中，胎粪排出的影响最小，胎儿心动过速似乎比其他体征更为显著。过期产和子宫收缩乏力病例的胎儿pH值也低于正常水平。结论是，对于这些类型的病例，应进行胎儿血样采集。
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