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本文对我院1991年11月~1993年10月新生儿窒息241例进行回顾分析。结果:新生儿窒息率11.5%,窒息儿死亡占新生儿死亡的64.3%。窒息原因脐带因素占首位,窒息以早产最高,过期产次之,经阴道分娩胎吸助产窒息高,臀牵引对胎儿危险性极大。提示:加强产前监护;防止早产儿,过期儿出生;避免严重窒息儿施行阴道助产,尤其是胎吸术;孕期纠正臀位,产时适当放宽臀位剖宫产指征;产程中及时处理胎儿宫内窘迫,可最大限度地降低新生儿窒息率。
In this paper, our hospital from November 1991 to October 1993 241 cases of neonatal asphyxia were retrospectively analyzed. Results: Neonatal asphyxia rate was 11.5%, asphyxial mortality rate accounted for 64.3% of neonatal deaths. Causes of asphyxia Umbilical cord factors in the first place, asphyxia to preterm high, outdated production times, vaginal delivery aspirated midwifery asphyxia, butt traction on the fetus is extremely dangerous. Tip: to strengthen prenatal care; prevent premature children, children overdose birth; to avoid severe suffocation vaginal delivery, especially fetus; pregnancy correction of breech, delivery time to relax breech cesarean indications; timely delivery process Treating fetal distress can minimize neonatal asphyxia.