68例新生儿窒息相关脏器损害危险因素分析

目的 探讨新生儿窒息后并发多脏器损害的发生率及相关危险因素.方法 将68例窒息新生儿分为轻度窒息组和重度窒息组,对其多脏器损害发生率及危险因素进行分析.结果 窒息后脏器损害发生率为58.82%,多脏器损害发生率为48.53%,重度窒息组中多脏器损害的发生率明显高于轻度窒息组.多脏器损害的发生与羊水污染、脐带绕颈、窒息程度及合理复苏有明显相关性.结论 如出现羊水污染及脐带因素所致的宫内窘迫应及时终止妊娠,进一步加强监护及产科与儿科合作,提高复苏技术,防止多脏器损害的发生.

Analysis ofRisk factor for anoxia newborn complicated with multi-organ damage

Objective:To explore the incidence rate and correlated risk factor for anoxia newborn complicated with multi-organ damage.Methods: 68 anoxia newborn were chosen for case group,which were divided into severe group and mild group,incidence rate and correlated risk factor were analyzed for anoxia newborn complicated with multi-organ damage.Results: The incidence rate for anoxia newborn was 58.82% and the incidence rate for multi-organ damage was 48.53%,the incidence rate for multi-organ damage in severe group was higher than mild group,multi-organ damage was correlated to amniotic fluid pollution,cord around neck,apnoea degree and reasonable anabiosis.Conclusion: It should be terminated for pregnancy when amniotic fluid was polluted and cord around neck happened associated with umbilical core factor.It should be reinforced that obstetrics-pediatrics cooperated and elevated resuscitation technique,which could reduce the occurrence of multi-organ damage.