近10年国内新生儿猝死38例综合报告  

Comprehensive Report about the Sudden Death of the Newborn in Recent 10 Years

作　　者：麦智广[1] 梁少霞[1] 卢咏雪[1] 

机构地区：[1]广东省佛山市第一人民医院儿科,528000

出　　处：《中国全科医学》2005年第5期377-378,共2页Chinese General Practice

摘　　要：目的探讨新生儿猝死(SDN)的表现、死因和预防措施.方法分析本院1例和文献报告37例SDN.结果 SDN发生于医院的占86.84%,足月儿占73.68%,男婴占76.32%,顺产占42.10%.发病前表现为正常状态占44.74%,吃奶减少占31.58%,体温35.5～36.0 ℃和反应低下各占18.42%.发病时表现为呼吸、心跳骤停型占42.11%,青紫型占34.21%,休克型占23.68%.经过尸检的31例死因为肺部感染占32.26%,颅内出血、脑水肿和先天性心脏病各占12.90%,死因不明占9.67%,胃食管反流性窒息占6.45%.结论 SDN的表现缺乏特异性,死因主要是爆发型感染、脑部病变、心脏疾患、代谢紊乱和胃食管反流性窒息等.使用包括19个项目的剑桥婴儿评估方案(cambridge baby check)是较好的预防措施.Objective To explore the clinical findings, causes and preventive measures of sudden death in newborn (SDN).Methods One case of SDN in our hospital was reported and 37 cases of SDN in literatures were reviewed.Results 86.84% of the SDN were found in hospital. The cases of mature and male baby accounted for 73.68% and 76.32% respectively. 41.10% cases of SDN were labored normally. The cases of SDN, before suffering from the disease, are not abnormal, eating less, having low temperature (35.5～36.0 ℃) and having low response to environment accounted for 43.24%, 31.58%, 18.42% and18.42% respectively. The clinical findings of SDN were the breath and heartbeat stopped suddenly (42.11%), cyanosis (32.21%) and shock (23.68%).The causes of 30 cases of SDN with anatomy were pneumonia (33.33%), hemorrhage in the brain (13.34%), edema of the brain (12.90%), congenital heart diseases (12.90),uncertain cause (9.67), asphyxia by gastro-oesophageal reflux (6.45%).Conclusion There were not special clinical findings in SDN, but 90.00% of them may find the death causes. The Cambridge baby check (with 19 items) may be a good measure to prevent SDN.

关 键 词：死因 猝死 新生儿 胃食管反流 青紫 足月儿 脑部病变 剑桥 结论 评估方案 

分 类 号：R722[医药卫生—儿科] R541[医药卫生—临床医学]