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胎粪吸入综合征(MAS)是新生儿期的严重并发症,是围产儿,特别是成熟围产儿死亡的主要原因之一。因此,预防MAS的发生成为围产医学中的一个重要课题。我院于1984年3～7月间由产科儿科共同进行了预防MAS的前瞻性探讨。资料与方法 1984年3～7月凡在产程中发现羊水重度污染的头位活产新生儿,均在胎头娩小后,娩肩前挤净口鼻咽部粘液,此后分两组进行不同处理。研究组(Ⅰ组)在出生后第一次呼吸前即由技术熟练的医生行喉头吸引及气管内插管(盲插)吸引,吸净气管内牯液
Meconium aspiration syndrome (MAS) is a serious complication in the neonatal period and is one of the major causes of perinatal, especially mature, perinatal deaths. Therefore, the prevention of the occurrence of MAS has become an important issue in perinatal medicine. Our hospital in March 1984 to July by pediatric obstetrics jointly prevent prospective study of MAS. Materials and methods 1984 to July 1984 found in the labor process of amniotic fluid serious pollution of the first live birth of newborns, are in the fetal head after childbirth, squeeze the nose and mouth pharynx mucus before delivery, then divided into two groups were different deal with. The study group (group Ⅰ) was attracted by larynx suction and endotracheal intubation (blind insertion) by a skilled doctor before the first breath after birth.