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新生儿视网膜出血很少引起产科医师的注意,这种眼内出血的临床重要性尚不清楚,Critchley认为新生儿视网膜出血可能影响以后中枢神经系统的功能。作者通过对200名头先露(枕横位、枕后位、顶先露)的新生儿在出生后72小时内作眼底检查,以观察受产钳和胎头吸引器影响而发生的视网膜出血的频度,进而探讨这两种分娩方式与出血的严要程度之间的关系。本文研究的200例新生儿中包括100例器械助产分娩,其中49例产钳分娩,51例胎头吸引器分娩。另100例自然分娩作对照。产钳组和胎头吸引器组中80%是初产妇,对照组初产妇占42%。三组间分娩时妊娠月份及新生儿体重无显著不同,所有新生儿都在2,500g以上。
The neonatal retinal bleeding rarely caused obstetrician’s attention, the clinical significance of such intraocular bleeding is not clear, Critchley that neonatal retinal hemorrhage may affect the future central nervous system function. The authors examined 200 eyes of newborns who had their first forehead (occipital transverse position, occiput posterior position, top foreland) within 72 hours of birth to observe the retinal hemorrhage caused by forceps and fetal head aspirator Frequency, and then explore the relationship between these two modes of delivery and the severity of bleeding. Among the 200 newborn infants studied in this study, 100 were delivered by midwifery, 49 delivered by forceps and 51 delivered by fetal head suction. Another 100 cases of natural childbirth as a control. 80% of forceps group and fetal head suction group were primipara and 42% of control group had primipara. Between the three groups during childbirth, there was no significant difference in the weight of the newborn during the month of pregnancy and all newborns were above 2,500g.