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本文提出根据Apgar评分＜7分；出生体重＜2500克，产时有感染，明显的产伤史，严重先天畸形，高胆红素血症为高危新生儿的诊断标准。探讨了高危新生儿与孕母高危妊娠及产科异常情况的关系，结果显示：高危新生儿发生率为16．6％。孕母多胎妊娠，产前出血，先兆早产等高危妊娠以及胎儿宫内窘迫等异常产科情况，高危新生儿发生率明显高于无上述因素者（P＜0．01）。提出诊断标准便于基层医院对高危新生儿做到重点观察和监护。对如何降低高危新生儿的发生和死亡进行了讨论。
This paper presents a diagnostic criteria based on Apgar score <7 points, birth weight <2500 grams, production-time infection, significant history of birth injury, severe congenital malformations, hyperbilirubinemia as high-risk neonates. The relationship between high-risk newborns and high-risk pregnancies and obstetric abnormalities was discussed. The results showed that the incidence of high-risk neonates was 16.6%. Pregnant women with multiple pregnancies, prenatal bleeding, threatened premature birth and other high-risk pregnancies and fetal distress and other abnormal obstetric conditions, the incidence of high-risk neonates was significantly higher than those without these factors (P <0.01). Put forward diagnostic criteria to facilitate primary care hospitals in key high-risk neonatal observation and monitoring. Discuss how to reduce the incidence and death of high-risk newborns.