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[新生儿心动描记术的产后监测。II. 心动描记术对诊断新生儿现有状况的意义]

[Postnatal monitoring of the newborn infant with cardiotachography. II. Significance of cardiotachography for diagnosis of existing conditions in the newborn infant].

作者信息

Plesse R, Wilken H P

出版信息

Zentralbl Gynakol. 1978;100(18):1193-200.

PMID:568862
Abstract

Eighty-five cardiotachograms of newborns aged between 34 and 42 weeks of gestation were studied. Fifty newborns were delivered spontaneously. In seventeen cases caesarean sections were used and in eighteen cases vacuum extractions. Cardiotachograms were recorded continuously throughout the immediate postnatal period until the stabilisation of the heart rate. Cardiotachograms were divided into three typical groups based on their cours of heart rate and fluctuation. The relation between these groups and the methods and duration of delivery and the condition of newborns were discussed. We found a correlation between the pathological cardiotachograms (tachycardiac and bradycardiac type of cardiotachogram) and long expulsion time, existent history of intrauterine disorder and low Apgar score. No relationship could be established between pathological cardiotachograms and the method of delivery.

摘要

对85份胎龄在34至42周的新生儿心动图进行了研究。50例新生儿为自然分娩。17例采用剖宫产,18例采用真空吸引助产。在出生后的整个即刻阶段持续记录心动图,直至心率稳定。根据心率及其波动过程,心动图被分为三个典型组。讨论了这些组与分娩方式、分娩持续时间以及新生儿状况之间的关系。我们发现病理性心动图(心动过速型和心动过缓型心动图)与长时间分娩、存在宫内疾病史以及低阿氏评分之间存在相关性。病理性心动图与分娩方式之间未发现关联。

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Zentralbl Gynakol. 1978;100(18):1193-200.
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