新生儿颅内出血与围产期相关因素分析

目的 探讨围产期新生儿颅内出血的高危因素。方法 对１４７例高危儿，从分娩方式，母亲孕期、产时并发症、胎龄、出生体重和血气检测值等进行回顾性分析。结果 臀位产、钳产、宫内窘迫、新生儿窒息、胎龄小于３２周，全重低于１５００ｇ的早产儿、出生后２４ｈ以内ＰａＣＯ２〉６．６７ｋＰａ、ｐＨ〈７．２等是颅仙出血的相关因素。结论 缺氧是引起出出血的主要因素，应加强胎儿的宫内监护和维持新生儿血气、血压的正常等预防工

High risk factors for neonatal intracranial hemorrhage during perinantal period

Objective To investigate the high risk factors causing neonatal intracranial hemorrhage during perinatal period.Methods 417 neonates in delivery,maternal events in antepartum and postpartum,gestation age,weigh and arterial blood gas were studied. Results Breech delivery,forceps extraction,fetal distress interuterus and neonatal asphyxia,less than 32 weeks gestation,less 1500 g,PaCO 2>6 67 kPa pH<7 2,were at high risk. Conclusion Hypoxia is at mainrisk.88 9% intracranial hemorrhage was due to subdural hemorrhage;It was put forward that preventive measures should be strengthened in monitoring fetus, maintaining normal arterial blood gas and blood pressure etc, which are more effective than drug treatment.