窒息新生儿急性肾功能衰竭的临床观察

目的 提高对新生儿急性肾功能衰竭（ARF）诊断与防治水平。方法 对42例发生ARF的窒息新生儿进行临床分析，探索其病因、临床特点、影响因素及预后。结果 窒息新生儿中ARF发生率35％，均在出生一周内发病，病死率23．81％，影响预后的因素与窒息、低氧血症、循环障碍、代谢性酸中毒与氮质血症的程度有关。结论 窒息新生儿ARF发生率高且预后不良。防治重点是：减少窒息发生，及时纠正窒息后低氧血症与循环障碍。

CLINICAL OBSERVATION OF ACUTE RENAL FAILURE IN ASPHYXIA NEONATORUM

Objective To raise the level of diagnosis and the prevention and treatment of asphyxia neonatorum with acute renal failure (ARF). Methods Clinical analysis was carried out in 42 patients of asphyxia neonatorum with ARF so as to explore the pathogen, the clinical features, causative factors and the diagnosis. Results The incident rate of ARF was 35 %, and all occurred within one week after born. The death rate was 23.8%. The factors influencing the diagnosis included the degrees of asphyxia, hypoxemia, circulation failure, metabolic acidosis and nitremia. Conclusion The incident rate of ARF was high in asphyxia neonatorum. The key points of the prevention and treatment for the disease should be to reduce the occurrence of asphyxia and to correct hypoxemia or circulation failure.