危重症孕产妇分娩时新生儿救治  

Neonate Treatment and Cure for Maternal Near Miss Delivery

作　　者：张彤[1] 李桦[1] 

机构地区：[1]四川省成都市第三人民医院儿科,四川成都610031

出　　处：《现代预防医学》2012年第10期2431-2433,共3页Modern Preventive Medicine

摘　　要：目的探讨危重症孕产妇分娩时新生儿的救治方法及策略。方法对转入某院的73例危重症孕产妇采取产科救护,进行产时预先呼叫,分娩新生儿采取产儿科医生共同救治,危重新生儿转入新生儿监护室后期救治等措施治疗。结果危重孕产妇分娩高危新生儿中早产儿24.66%,足月儿75.34%;出生体重(3030±823)g,低体重儿21.92%,巨大儿2.74%;患病患儿占出生高危新生儿的比例为80.82%;新生儿出生窒息发生率56.16%,死亡4例,死亡率为5.48%;危重新生儿评分法评分极危重23例,死亡4例均为极危重组患儿,各组死亡率之间差异有统计学意义(P﹤0.05)。结论危重症孕产妇分娩时产儿科医生协作能保障新生儿窒息抢救成功率的提高,后期危重新生儿评分法有助于危重新生儿的预后。OBJECTIVE To investigate the treatment and cure methods and strategies for maternal near miss delivery.METHODS 73 cases of maternal near miss patients changed over to our hospital were given maternal care,and call in advance for production.The delivery neonates were given pediatrician common treatment.The critical neonates were transferred to neonatal intensive care unit for post-treatment and other measures.RESULTS In the neonates of maternal near miss,premature rate was 24.66%,full-term children was 75.34%;the birth weight was 3030 ± 823g,low birth weight children occupied 21.92%,great children occupied 2.74%;the proportion of sick children was 80.82% out of the high-risk infants;birth asphyxia rate was 56.16%,4 patients died,the mortality rate was 5.48%;with the critical neonate score evaluation method,23 cases was extremely critical,the 4 cases of dead children were all the extremely critical patients.There were obvious differences among the death rates of there groups（P﹤0.05）.CONCLUSION When the maternal near miss delivery,the pediatrician collaboration can improve the success rate of neonatal asphyxia,and the neonatal critical score is helpful to the prognosis of critically ill newborns.

关 键 词：危重症 新生儿救治 复苏 新生儿危重病例评分法 

分 类 号：R714.3[医药卫生—妇产科学]