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羊水粪染与新生儿窒息及呼吸道清理的临床分析 被引量:2

A CLINCAL STUDY OF MECONIUM-STAIINED AMNIOTIC FLUID AND AIRWAY CLEARANCE
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摘要 通过对本院7155例新生儿出生时羊水性状的临床观察,表明羊水烘染程度与新生儿窒息发生率间关系密切。粪染程度越重,窒息发生率越高,有显著性差异(X2=68.7,9.03,42.69,P<0.001)。从对213例窒息儿复苏术中呼吸道清理方法与合并症分析,提示羊水粪染Ⅱ度或Ⅲ度宜尽早采取气管插管措施,以期及早保证呼吸通畅,提高复苏成功率,减少合并症。 Through a clinical investigation of 7155 cases of newborn and their appearances of amni-otic fluid at birth, it was found that meconium-stained amniotic fluid was well correlated with theincidence of neonatal asphyxia. The thicker the meconium staining, the higher the incidence ofasphyxia. There was a highly significant difference (X2= 68.7, 9. 07, 42. 69, respectively, P <0.001).The methods of airway clearance during resuscitation and occurrance of complication wereanalysed in 213 newborns with asphyxia. It suggested that intubation and suction through ETtube should be promptly applied when meconium-stained amniotic fluid reached degree Ⅱ and Ⅲ,so that the airway could be opened early to increase success rate of resuscitation and decreasecomplication.
作者 李明美
出处 《急诊医学》 CSCD 1996年第2期84-86,共3页
关键词 新生儿窒息 羊水粪污 呼吸道清理 抢救 Newborn Neonatal asphyxia Amniotic fluid
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