摘要
目的探讨新生儿脐动脉血气检查在新生儿窒息诊断中的价值。方法前瞻性统计2008年1月1日至2009年7月31日期间在北京市海淀区妇幼保健院出生的全部新生儿18429例。低Apgar评分103例,统计脐动脉血气的参考值及脏器损伤的发生率及分析脐动脉血气与脏器损伤的相关性。结果窒息后可导致多脏器受损,脏器损伤中以呼吸系统受损最常见。脐动脉血气pH<7.00脏器损伤率为100%。结论单凭低Apgar评分诊断窒息易导致误诊,脐动脉血气应被纳入新生儿窒息诊断标准。
Objective： To study the significance of umbilical artery blood gas on the diagnosis of neonatal asphyxia.Methods： 18 429 newborns were recorded using forward-looking statistics during January 1,2008 to July 31,2009 at the Beijing Haidian Maternity and Children＇s Hospital.103 low Apgar scores were consecutively enrolled.The reference range of umbilical artery blood gas,organ damage and umbilical artery blood pH,the correlations between the umbilical artery blood pH and the other items were statistically analyzed.Results： Asphyxia can result in multiple organ damages simultaneously,in which respiratory damages are most common.For those whose pH 〈7.00,the percentage of organ damage is 100%.Conclusion： Neonatal asphyxia diagnosis based on Apgar score alone may result in misdiagnosis.Umbilicalartery blood pH can be a useful complement and should be considered as one of the regular criteria for neonatal asphyxia dianosis.
出处
《中国优生与遗传杂志》
2011年第1期88-89,共2页
Chinese Journal of Birth Health & Heredity
关键词
窒息
血气分析
新生儿
Asphyxia
Blood gas analysis
Neonatal
