分娩时脐血血气分析应用和价值  

Application and value of umbilical cord blood gas analysis during delivery

作　　者：刘兴会 张蔓 LIU Xing-hui;ZHANG Man(Department of Gynecology and Obstetrics,Key Laboratory of Obstetrics and Gynecologic and Pediatric Diseases and Birth Defects of Ministry of Education,West China Second University Hospital of Sichuan University,Chengdu 610041,China)

机构地区：[1]四川大学华西第二医院妇产科,出生缺陷与相关妇儿疾病教育部重点实验室,四川成都610041

出　　处：《中国实用妇科与产科杂志》2024年第2期157-160,共4页Chinese Journal of Practical Gynecology and Obstetrics

基　　金：四川省科技厅项目(2020YFQ0006)。

摘　　要：分娩时脐血血气分析在评估新生儿缺氧、预测新生儿死亡、神经系统损伤等疾病中具有重要作用。目前国内外尚未统一规定其正常值范围。文章对分娩时新生儿酸碱平衡生理学、脐带血样本采集、重要指标的正常范围、脐血血气分析在临床诊疗中的价值及异常血气值和新生儿不良结局的关联几个方面进行系统论述。Umbilical cord blood gas analysis during delivery plays a vital role in evaluating neonatal asphyxia,predicting and neonatal death and evaluating,neurological injury and other diseases.Presently,there is no standard range of cord blood gas indexes worldwide.This paper systematically discussed the physiology of neonatal acid-base status,sample collection,key indicators of cord blood gas,its clinical value and relationship between blood gas and fetal outcomes.

关 键 词：脐血血气 酸碱平衡 代谢性酸中毒 神经损伤 

分 类 号：R714[医药卫生—妇产科学]