Flores-Nava G, Joachin-Roy H
Unidad de cuidados intensivos neonatales, Hospital de Ginecoobstetricia Luis Castelazo Ayala, Instituto Mexicano del Seguro Social, México, D.F.
Ginecol Obstet Mex. 1997 Feb;65:56-8.
The objective was to determine clinical characteristics and evolution of the neonate in critical status, son of mother with preeclampsia/eclampsia, in a neonatal intensive care unit (NICU). And looking for differences between the son of mother with preeclampsia and the mother with eclampsia. Revision of 425 charts of discharged neonates of a NICU. Infants of mother with preeclampsia/eclampsia were included. Was done the variables by means of descriptive statistics are analyzed, and t Student and chi square for the comparative study. 88 neonates were included, 46 of preeclampsia and 42 of eclampsia. Their characteristics were (X +/- SD): Maternal age 25 +/- 4 years, birth weight 1587 +/- 601 grams, gestational age 32 +/- 3 weeks. Apgar to the one minute 5 +/- 1. Apgar to the five minutes 6 +/- 1. All required mechanical ventilation during 8 +/- 9 days, NICU stay 12 +/- 10 days. Predominated masculine sex 63.2%, and with mortality 21.8% average. In the comparative study, preeclampsia vs eclampsia, of the same variables we found significant difference in; birth weight 1858 +/- 654 vs 1340 +/- 422 grams; gestational age 33 +/- 3 vs 31 +/- 2 weeks, and in nosocomial pneumonia 7 vs 33. Most of these neonates were preterm, with Apgar low, prevailed masculine sex, all required mechanic ventilation with stay of 12 days average in the NICU, mortality was low. And the son of mother with eclampsia presented more pneumonia nosocomial.
目的是确定在新生儿重症监护病房(NICU)中,患有子痫前期/子痫的母亲所生处于危急状态的新生儿的临床特征和病情发展情况。并寻找子痫前期母亲的儿子与子痫母亲的儿子之间的差异。对一家NICU 425份出院新生儿病历进行回顾。纳入患有子痫前期/子痫的母亲所生的婴儿。通过描述性统计分析变量,并采用t检验和卡方检验进行比较研究。共纳入88例新生儿,其中46例母亲患有子痫前期,42例母亲患有子痫。其特征为(X±SD):母亲年龄25±4岁,出生体重1587±601克,胎龄32±3周。1分钟Apgar评分5±1分。5分钟Apgar评分6±1分。所有患儿均需要机械通气8±9天,在NICU住院12±10天。男性占主导,为63.2%,平均死亡率为21.8%。在子痫前期与子痫的比较研究中,对于相同变量,我们发现以下方面存在显著差异:出生体重1858±654克与1340±422克;胎龄33±3周与31±2周,以及医院获得性肺炎发生率7%与33%。这些新生儿大多为早产儿,Apgar评分低,男性占主导,均需要机械通气,在NICU平均住院12天,死亡率较低。子痫母亲的儿子医院获得性肺炎更多。