关于新生儿窒息相关诊断指标的研究进展

晨 沈(内蒙古医科大学第一临床医学院，中国)
媛媛 易(内蒙古医科大学附属医院妇产科，中国)

摘要

新生儿缺氧窒息是出生后最常见的紧急状况，是导致围产期新生儿死亡和致残的主要原因之一。由于情况的紧急，临床医师需先救治，后诊断，这使医生处在被动的位置。而今随着二胎政策的放开导致分娩人数增多，现代生活的多元因素导致复杂妊娠增多，都直接使产科医生与产房助产师的工作量增大，毋庸置疑会加剧此种情况。即便目前有很多提示新生儿窒息的指标可供临床医师使用，但临床新生儿的窒息仍时有发生。这是由于胎儿与母体的循环系统相互联系，缺氧信号并非十分明显，新生儿的病情变化指标与成人有异，所以对医生及时、准确发现新生儿的缺氧窒息信号有了更高的要求，以提高新生儿窒息的预见性，及时的给予临床干预，不仅要降低围产期新生儿的死亡率，而且要降低围产期新生儿的致残率，提高生活质量。论文针对预测新生儿缺氧窒息意义的临床指标做一综述，以期为临床诊断治疗提供参考。

关键词

新生儿窒息；缺氧； 酸中毒

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DOI: http://dx.doi.org/10.26549/yzlcyxzz.v3i4.4424