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[新生儿呼吸障碍围产期评估中的选定指标。II. 预后价值]

[Selected indices in perinatal evaluation of the newborn with respiratory disturbances. II. Prognostic value].

作者信息

Białkowski J

机构信息

Kliniki Intensywnej Terapii, Slaskiego Centrum Pediatrii w Zabrzu.

出版信息

Ginekol Pol. 1993 Jan;64(1):29-32.

PMID:8359719
Abstract

Respiratory disturbances are the most frequent causes of life-threatening situations in the newborn. In this paper evaluation indices of the newborn were compared in 2 groups of patients. The first comprised 36 babies with Hyaline Membrane Disease (HMD) with good or fatal outcome, in the second 44 newborns with Aspiration-Pneumonia (AP) syndromes were included. Prognostic value of following indices was considered: delivery route, gestational age, birth weight, maturity degree, sex and Apgar score. Bad prognostic value of low birth weight was found in the HMD group and low Apgar score and intrauterine dystrophy in the AP group. Mortality was similar in children delivered vaginally and by cesarean section in both groups of patients.

摘要

呼吸障碍是新生儿危及生命情况的最常见原因。本文对两组患者的新生儿评估指标进行了比较。第一组包括36例患有透明膜病(HMD)且预后良好或致命的婴儿,第二组纳入了44例患有吸入性肺炎(AP)综合征的新生儿。考虑了以下指标的预后价值:分娩途径、胎龄、出生体重、成熟度、性别和阿氏评分。在HMD组中发现低出生体重具有不良预后价值,而在AP组中低阿氏评分和宫内发育迟缓具有不良预后价值。两组患者中经阴道分娩和剖宫产分娩的儿童死亡率相似。

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