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脐动脉血气对新生儿窒息诊断价值的探讨
引用本文:徐萍,张雪峰,李瑛,王欣煜,刘向梅,雷燕喆,李晓鸥,祝捷,张丽,薛晓娜.脐动脉血气对新生儿窒息诊断价值的探讨[J].中国优生与遗传杂志,2011(1):88-89.
作者姓名:徐萍  张雪峰  李瑛  王欣煜  刘向梅  雷燕喆  李晓鸥  祝捷  张丽  薛晓娜
作者单位:北京市海淀妇幼保健院儿科;
摘    要:目的探讨新生儿脐动脉血气检查在新生儿窒息诊断中的价值。方法前瞻性统计2008年1月1日至2009年7月31日期间在北京市海淀区妇幼保健院出生的全部新生儿18429例。低Apgar评分103例,统计脐动脉血气的参考值及脏器损伤的发生率及分析脐动脉血气与脏器损伤的相关性。结果窒息后可导致多脏器受损,脏器损伤中以呼吸系统受损最常见。脐动脉血气pH〈7.00脏器损伤率为100%。结论单凭低Apgar评分诊断窒息易导致误诊,脐动脉血气应被纳入新生儿窒息诊断标准。

关 键 词:窒息  血气分析  新生儿

Significance of umbilical artery blood gas on diagnosis of neonatal asphyxia
XU Ping,ZHANG Xue-feng,LI Ying,WANG Xin-yu,LIU Xiang-mei,LEI Yan-zhe,LI Xiao-ou,ZHU Jie,ZHANG Li,XUE Xiao-na..Significance of umbilical artery blood gas on diagnosis of neonatal asphyxia[J].Chinese Journal of Birth Health & Heredity,2011(1):88-89.
Authors:XU Ping  ZHANG Xue-feng  LI Ying  WANG Xin-yu  LIU Xiang-mei  LEI Yan-zhe  LI Xiao-ou  ZHU Jie  ZHANG Li  XUE Xiao-na
Institution:XU Ping,ZHANG Xue-feng,LI Ying,WANG Xin-yu,LIU Xiang-mei,LEI Yan-zhe,LI Xiao-ou,ZHU Jie,ZHANG Li,XUE Xiao-na.(Department of Pediatrics,Beijing Haidian Maternity and Children's Hospital,Beijing 100080,China)
Abstract:Objective: To study the significance of umbilical artery blood gas on the diagnosis of neonatal asphyxia.Methods: 18 429 newborns were recorded using forward-looking statistics during January 1,2008 to July 31,2009 at the Beijing Haidian Maternity and Children's Hospital.103 low Apgar scores were consecutively enrolled.The reference range of umbilical artery blood gas,organ damage and umbilical artery blood pH,the correlations between the umbilical artery blood pH and the other items were statistically anal...
Keywords:Asphyxia  Blood gas analysis  Neonatal  
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