新生儿缺氧缺血性脑病88例临床分析
Clinical analysis of 88 eases neonatal hypoxic-ischemic encephalopathy
目的 探讨新生儿缺血缺氧性脑病(HIE)的分度、转归及预后的关系以及目前的治疗方法.方法 对2004年1月至2008年4月某院儿科收治的HIE 88例进行评估、检查、分度和治疗.结果 88例中8例自动出院,80例出院时51例(63.8%)痊愈,28例(35.0%)好转,死亡1例(1.3%).转归与HIE临床轻重度关系密切,轻度、中度病例分别有78.4%(29/37)、53.7%(22/41)痊愈,均无死亡病例;而重度1例,1例死亡.结论 转归与HIE临床轻重度关系密切,出生时窒息情况对患儿出院及转归无明显影响.
更多Objective To discuss neonatal hypoxic-ischemie eneephalopathy points,and the vesting of the re- lationship between the prognosis and current treatment methods. Methods From January 2004 to April 2008, pedi-atric hospital treated 88 cases of HIE were assessed, inspected, grading and treated. Results 8 cases in the 88 eases antomatically discharged, 51 patients (63.8 %) were recovered and 28 patients (35.0 %) improved, and 1 patient (1.3 %) died. HIE clinical severity has close relationship with prognosis. Mild and moderate cases were 78.4 % (29/37) ,53.7% (22/41) were recovered and no deaths, and severe 1 case, 1 death. Conchtsion HIE clinical severity and prognosis have close relationship, the time of birth asphyxia situation on the vesting of infants discharged and was no significant impact.
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