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王红兵,俞岑妍,赵菲菲,等.脐动脉血血气分析在新生儿窒息诊断中的临床意义[J].同济大学学报（医学版）,2011,32(1):65-67. [点击复制]
- WANG Hong-bing,YU Cen-yan,ZHAO Fei-fei,et al.Clinical significance of umbilical artery blood gas on neonatal asphyxia diagnosis[J].同济大学学报（医学版）,2011,32(1):65-67. [点击复制]
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| 脐动脉血血气分析在新生儿窒息诊断中的临床意义 |
| 王红兵1,俞岑妍1,赵菲菲1,吴凡2,朱华静2,秦锦龙2 |
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| (1. 同济大学附属第十人民医院妇产科新生儿室,上海 200072;2. 同济大学附属第十人民医院妇产科,上海 200072) |
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| 摘要: |
| 目的 研究新生儿脐动脉血血气参考值,探讨其在新生儿窒息诊断中的临床意义。方法 对2009年1月—2009年8月在本院分娩的183例足月活产新生儿进行脐动脉血血气测定,分析脐动脉血pH与Apgar评分、脏器损伤之间的关系。结果 171例正常新生儿脐动脉血气pH平均值为7.28±0.05,PaO2为.99±0.83 kPa;PaCO2为6.30±1.37 kPa,BE为8.10±4.37 mmol/L。Apgar评分4~7分和1~3分的脏器损伤分别为5例和3例,脐动脉血pH值7.00~7.19和pH＜7.00的脏器损伤分别为3例和4例。脐动脉血血气的pH值及Apgar评分,与脏器损伤呈负相关。结论 低Apgar评分结合脐动脉血pH＜7.00有助于诊断新生儿窒息。 |
| 关键词: 脐动脉 血气分析 窒息 新生儿 |
| DOI：10.3969/j.issn1008-0392.2011.01.065 |
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| 基金项目: |
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| Clinical significance of umbilical artery blood gas on neonatal asphyxia diagnosis |
| WANG Hong-bing1,YU Cen-yan1,ZHAO Fei-fei1,WU Fan2,ZHU Hua-jing2,QIN Jin-long2 |
| (1.Dept.of Neonates,Tenth People's Hospital,Tongji University,Shanghai 200072,China;2.Dept.of Gynaecology and Obstetrics，Tenth People's Hospital，Tongji University，Shanghai 200072， China) |
| Abstract: |
| Objective To study the reference range of umbilical artery blood gas and the clinical significance of umbilical artery blood pH on the diagnosis of neonatal asphyxia.Methods Umbilical artery blood gas was measured in 183 full-term infants in the Tenth People's Hospital from Jan.2009 to Aug.2009.Reference range of umbilical artery blood gas was studied and its correlation between umbilical artery blood pH and Apgar scores with organ damage were analyzed. Results The average of umbilical artery blood pH, paO2，paCO2 and BE were 7.28±0.05，(2.99±0.83) kPa and (6.30±1.37) kPa and (8.10±4.37) mmol/L respectively. Cases with organ damage were 5 and 3 respectively in Apgar score 4-7 group and Apgar score 1-3 group. There were 3 cases with organ damage in pH 7.00-7.19 group and 4 cases in pH ＜7.00 group. The umbilical artery blood pH and Apgar score were negatively correlated with organ damage. Conclusion Low Apgar score with umbilical artery blood pH ＜7.00 is helpful in neonatal asphyxia diagnosis. |
| Key words: umbilical arteries blood gas analysis asphyxia neonatorum |