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新生儿窒息是产科临床中的新生儿危象,也是围产儿死亡的主要原因。本文通过对283例窒息新生儿的产科因素进行回顾性分析,寻找处理方法及预防措施,以期提高产科质量,降低新生儿窒息的发生率。1 临床资料1.1 一般资料 1997年1月至2001年12月在我院产科住院分娩的活产新生儿共计4388例(除外畸形儿),顺产2733例,剖宫产1458例,阴道手术产197例。高危妊娠2240例,胎儿宫内窘迫874例。新生儿窒息283例,发生率为6％。1.2 新生儿窒息诊断标准 按新生儿出生后1分钟Apgar评分标准,0～3分为重度窒息,4～7分为
Neonatal asphyxia is a neonatal crisis in obstetrics and is the leading cause of perinatal death. In this paper, we retrospectively analyzed the obstetric factors of 283 neonates with asphyxia to find the treatment methods and preventive measures in order to improve the obstetric quality and reduce the incidence of neonatal asphyxia. 1 Clinical data 1.1 General information January 1997 to December 2001 in our hospital obstetric delivery of live births a total of 4388 newborns (excluding deformity children), 2733 cases of spontaneous delivery, cesarean section in 1458 cases, 197 cases of vaginal surgery . 2240 cases of high-risk pregnancy, 874 cases of fetal distress. 283 cases of neonatal asphyxia, the incidence was 6%. 1.2 neonatal asphyxia diagnostic criteria according to 1 minute after birth neonatal Apgar score, 0 to 3 points for severe asphyxia, 4 to 7 points for the