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分析了新生儿窒息241例的临床资料,其中,出生一分钟Apgar评分4～7分167例,≤3分74例。窒息引起器官系统损害的频度依次为呼吸系统、泌尿系统、心血管系统、中枢神经系统、消化系统及凝血系统。轻度窒息持续时间≥5分钟者,三个系统以上受累占78.8％,病死率39.4％;重度窒息持续时间≥5分钟者,三个系统以上受累为88.7％,病死率82.3％。随访86例,其中轻度窒息神经系统后遗症发生率为10.4％重度窒息神经系统后遗症发生率占26.3％。提示窒息程度和持续时间与多器官系统损害发生率及疾病预后有密切关系。
The clinical data of 241 neonates with asphyxia were analyzed. Among them, 167 cases were diagnosed with Apgar score 4-7 at birth, 74 cases were ≤3 points at birth. Asphyxia caused organ system damage in the order of respiratory system, urinary system, cardiovascular system, central nervous system, digestive system and coagulation system. Mild apnea duration ≥5 minutes, three systems accounted for 78.8% of the above, the mortality rate was 39.4%; severe asphyxiation duration of ≥ 5 minutes were more than three systems involved 88.7%, the mortality rate of 82.3%. Follow-up 86 cases, of which mild asphyxia nervous system sequelae incidence of 10.4% severe asphyxia nervous system sequelae incidence rate of 26.3%. Tip degree and duration of asphyxia and multiple organ damage and disease prognosis are closely related.