动脉血气分析在新生儿窒息中的临床研究
Clinical Research of Arterial Blood Gas Analysis for Neonatal Asphyxia
作者: 尹延娥 , 张立明 , 赵 伟 , 邱晓梅 , 高荣荣 :潍坊市人民医院新生儿科,潍坊; 刘文静 :东营市鸿港医院,东营;
关键词: 血气分析; 新生儿窒息; Apgar评分; Arterial Blood Gas Analysis; Neonatal Asphyxia; Apgar Score
摘要:Abstract: Objective: To explore the clinical value of arterial blood gas analysis in the diagnosis of neonatal asphyxia. Method: Choose 40 infants born from October, 2013 to April, 2014 in our hospital with 1 min Apgar score ≤ 7 as asphyxia group, within which 3 < 1 min Apgar score ≤ 7 as mild asphyxia group, Apgar ≤ 3 as severe asphyxia group; at the same time, choose 50 infants with 1 min Apgar score ≥ 8 points, and without symptoms of asphyxia, relatively stable as contrast group. One hour after the infants born, we carry out an analysis of blood gas, and make a relevant analysis with Apgar evaluation. Results: The result comes out that compared with the contrast group, infants in asphyxia group have decreased value in PH, PO2, BE,HCO3 and Lactic acid, and have increased value in PCO2. While, severe asphyxia group has more obvious changes in values. Conclusion: Ar-terial blood gas analysis, together with Apgar evaluation can help to diagnose neonatal asphyxia. What’s more, they can reflect the quality and severity of HIE more objectively, and help to predict the prognosis of neonatal.
文章引用: 尹延娥 , 刘文静 , 张立明 , 赵 伟 , 邱晓梅 , 高荣荣 (2014) 动脉血气分析在新生儿窒息中的临床研究。 亚洲儿科病例研究, 2, 25-28. doi: 10.12677/ACRP.2014.24006
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