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1989年1月~1990年8月在我院分娩5,446名活产婴,有胎粪污染者114例(2.1%)。有MAS症状者70例,发病率为1.3%。在6小时内发病者有46例。足月儿、过期产儿占68例,出生体重均>2500g。出生时窒息需复苏者22例。主要症状有青紫、气急、呼吸困难及肺部湿性罗音。胸片51例见有两肺播散着粗颗粗状或斑片状影及过透亮区。病死率为4.3%。文章就发病率、预防及治疗进行了讨论。
Between January 1989 and August 1990, 5,446 live births were delivered in our hospital, with 114 cases (2.1%) having meconium-polluting. There are 70 cases of symptoms of MAS, the incidence was 1.3%. In 6 hours the incidence of 46 patients. Full-term children, expired children accounted for 68 cases, birth weight> 2500g. 22 cases of asphyxia need to be recovered at birth. The main symptoms are bruising, shortness of breath, difficulty breathing and lung wet rales. 51 cases of chest radiographs see two lungs disseminated with thick coarse or patchy shadow and translucent area. The case fatality rate was 4.3%. The article discusses morbidity, prevention and treatment.