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1993年4月至5月在我院产房共出生275名新生儿,其中21例有围产期窒息的临床表现,并经CT证实为新生儿缺氧缺血性脑病(HIE).根据资料分析了HIE的发病原因,主要是围产期窒息.窒息的因素以胎头吸引、脐带因素,宫内窒迫、胎位不正、妊高症、产程异常占多数.因而产前检查,加强胎儿监护,产时指导非常重要.通过儿科医师驻产房前后对HIE的确诊率对比,充分证明了儿科医师驻产房监护对HIE早期诊断的重要性.
A total of 275 newborns were born in the delivery room of our hospital from April to May 1993, of which 21 cases had perinatal asphyxia clinical manifestations confirmed by CT as neonatal hypoxic-ischemic encephalopathy (HIE) .According to data analysis The causes of HIE, mainly perinatal asphyxia. Suffocation factors to the fetal head to attract, umbilical cord factors, intrauterine malaise, fetal position is not correct, pregnancy-induced hypertension, labor abnormalities accounted for the majority of prenatal care therefore, to strengthen fetal care, The timing of delivery is very important.By comparison of the diagnosis rate of HIE before and after the pediatrician in the delivery room, it fully proves the importance of pediatricians in the delivery room for the early diagnosis of HIE.