小儿有神经系统障碍时常归咎于分娩窒息。为此作者根据最近发表的资料列出5个众所关心的问题并予以答复。 1.严重分娩窒息造成死亡或严重残疾的危险性。所有报告都说明严重窒息的新生儿死亡率很高,约50%,但存活者很可能发育正常。在阿伯丁,82例Apgar5分钟评分低于4分的婴儿有41例存活:其中29例5～10岁时作了检查,27例无严重残疾,2例智力落后和四肢瘫痪,9名未作体检但能证明发育正常,3名未随访。美国围产医学研究组最近报告49,000名新生儿的Apgar评分及其予后,2,764名1分钟评分<4分和780名5分钟评分<4分的婴儿的 Children with neurological disorders are often blamed for childbirth asphyxiation. For this reason, the author lists five issues of concern based on the latest published information and replies. 1. Severe childbirth due to death caused by suffocation or severe disability risk. All reports indicate that neonatal mortality from severe asphyxia is high at about 50%, but survivors are likely to develop normally. In Aberdeen, 82 of 82 infants with an Apgar score of less than 4 were survived: 29 of them were examined at the age of 5 to 10 years, 27 had no serious disability, 2 had mental retardation and quadriplegia, and 9 had not For physical examination but can prove normal development, 3 were not followed up. The American Institute of Perinatal Medicine recently reported an Apgar score of 49,000 newborns and 2,764 infants who had a 1-minute score <4 and 780 who had a 5-minute score <4