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Analysis of the perinatal factors and multiple organ injury of hypoxia and ischemic encephalopathy(HIE) in neonates
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- Author:
- No author available
- Journal Title:
- CHINESE JOURNAL OF PRIMARY MEDICINE AND PHARMACY
- Issue:
- 6
- DOI:
- 10.3760/cma.j.issn.1008-6706.2003.06.005
- Key Word:
- 缺血缺氧性脑病;围生因素;多脏器损害
Abstract： 目的探讨新生儿缺氧缺血性脑病(HIE)围生因素与HIE分度、并发多器官损害以及电解质代谢紊乱的关系.方法对103例HIE进行多因素分析.结果引起HIE的围生期因素中,重度窒息占首位,其它因素依次为宫内窒息、羊水混浊Ⅱ～Ⅲ度、脐带绕颈2～3周、妊娠合并症等;窒息程度、异常分娩及5 min Apgar评分＜5分与HIE分度有明显关系;HIE合并多器官损害与HIE损害有关;HIE并发电解质代谢紊乱出现低钠、低氯、低钙血症.结论 HIE主要围生期因素为重度窒息、羊水混浊Ⅱ～Ⅲ度、5 min Apgar评分＜5分,HIE程度与多器官损害呈现正相关.
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