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本文对385例初产单胎头位胎儿窘迫资料进行分析。重点对羊水混浊与胎儿窘迫的关系进行探讨。发现:羊水混浊合并胎心异常时,其新生儿窒息率明显高于单纯羊水混浊或胎心异常时:羊水Ⅲ度胎粪污染时,其新生儿重度窒息率为Ⅱ度以下胎粪污染的4倍,其中93.91%有孕产期合并症,异常胎心图多。羊水混浊程度愈严重,出现在产程中愈早,剖宫产率愈高。认为:产程早期出现羊水混浊,羊水混浊合并胎心异常,和羊水Ⅲ度胎粪污染,提示胎儿娩出后低Apgar 评分和胎粪吸入综合症的机会增加,应视为胎儿窘迫的标志。
In this paper, 385 primiparous single head fetal distress data analysis. Focus on the relationship between amniotic fluid turbidity and fetal distress. Found: amniotic fluid turbid combined with fetal heart rate abnormalities, the neonatal asphyxia was significantly higher than the simple amniotic fluid turbid or abnormal fetal heart rate: amniotic fluid meconium Ⅲ degree of meconium staining, severe neonatal asphyxia Ⅱ degrees meiosis less than 4 Times, of which 93.91% have maternal complications, abnormal fetal heart rate more. Amniotic fluid turbidity more serious, appear in the labor process in the earlier, the higher the rate of cesarean section. It is believed that the early stages of labor: amniotic fluid opacity, amniotic fluid turbidity combined with fetal heart rate abnormalities, and amniotic fluid level III meconium contamination, suggesting that the fetus after delivery of low Apgar score and meconium aspiration syndrome increased opportunities should be regarded as a marker of fetal distress.