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维持治疗对新生儿颅内出血的疗效观察与随访

Effects of the maintenance treatment and follow-ups on intracranial hemorrhage of the newborn
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摘要 目的探讨以维持PaO2及SaO2的正常,维持心率、血压及脑灌注压的正常,维持血糖电解质平衡以及控制惊厥,控制颅内压增高,控制脑干症状为内容的"三维持""三对症"综合疗法对新生儿颅内出血的疗效。方法采用"三维持""三对症"综合疗法治疗新生儿颅内出血95例,并与采用常规治疗的46例新生儿颅内出血病例进行了比较。结果观察组存活率91.01%,病死率8.99%。对照组存活率76.74%,病死率23.26%,两组差异具有统计学意义(P<0.05)。结论"三维持""三对症"综合疗法可有效提高新生儿颅内出血的存活率,降低病死率。 Objective To explore the curative effect of "three maintenances three controlling symptoms" ,namely keeping PaO2 and SaO2 normal, keeping heart rate,blood pressure and cranial pouring pressure normal, keeping blood sugar electrolyte normal as well as controlling convulsion, controlling intracranial pressure advance, controlling brain stem symptoms, on intracranial hemorrhage of the newborn. Methods 95 cases of intracranial hemorrhage of the newborn were treated by using "three maintenances three controlling symptoms" ,in comparision with 46 cases of intracranial hemorrhage of the newborn who accepted the conventional treatment. Results The observation group survival rate is 91.01%, the case fatality rate 8.99%. The control group survival rate is 76. 74%, the case fatality rate 23.26%. The difference between the two groups is significant( P 〈 0. 05 ). Conclusion The "three maintenances three controlling symptoms" can be effective to enhance the survival rate and to reduce the case fatality rate of intracranial hemorrhage of the newborn.
出处 《中国实用医药》 2008年第24期53-55,共3页 China Practical Medicine
关键词 新生儿 颅内出血 维持治疗 对症治疗 Newborn Intracranial hemorrhage Maintenances treatment Controlling symptoms treatment
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