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对65例新生儿(男43例,女22例)窒息缺氧缺血性脑病病儿进行了临床分期.结果表明,Ⅰ期4例,Ⅱ期48例,Ⅲ期13例.Ⅰ期主要改变为过度觉醒状态,拥抱反射易引出,无惊厥发作;Ⅱ期主要表现为嗜睡或浅昏迷,痉挛发作,肌张力低下,拥抱、吸吮反射减低;Ⅲ期的特点是昏迷,反射消失,肌张力减低、消失,除可出现间歇性的去大脑僵直状态外,一般无痉挛发作.提示意识、肌张力、拥抱吸吮反射的改变和痉挛发作,对临床诊断和分期有重要意义.
The clinical stage of 65 neonates (male 43, female 22) with asphyxia and hypoxic ischemic encephalopathy were studied.The results showed that there were 4 cases in stage Ⅰ, 48 cases in stage Ⅱ and 13 cases in stage Ⅲ.The main changes in stage Ⅰ For the state of over-awakening, embracing reflex easy to lead, no seizures; Ⅱ main manifestations of drowsiness or coma, spasms, hypotonia, hug, sucking reflex reduced; Ⅲ is characterized by coma, reflex, decreased muscle tone , Disappear, in addition to intermittent to go to the brain stiff state, the general absence of spasm. Tip awareness, muscle tone, embrace sucking and reflex changes and spasm seizures, clinical diagnosis and staging is important.