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目的探讨危重症孕产妇分娩时新生儿的救治方法及策略。方法对转入某院的73例危重症孕产妇采取产科救护,进行产时预先呼叫,分娩新生儿采取产儿科医生共同救治,危重新生儿转入新生儿监护室后期救治等措施治疗。结果危重孕产妇分娩高危新生儿中早产儿24.66%,足月儿75.34%;出生体重(3030±823)g,低体重儿21.92%,巨大儿2.74%;患病患儿占出生高危新生儿的比例为80.82%;新生儿出生窒息发生率56.16%,死亡4例,死亡率为5.48%;危重新生儿评分法评分极危重23例,死亡4例均为极危重组患儿,各组死亡率之间差异有统计学意义(P﹤0.05)。结论危重症孕产妇分娩时产儿科医生协作能保障新生儿窒息抢救成功率的提高,后期危重新生儿评分法有助于危重新生儿的预后。
Objective To explore the methods and strategies of treatment of critically ill pregnant women during delivery. Methods A total of 73 critically ill pregnant women who transferred to a hospital were treated with obstetric care, prenatal call during delivery, newborn infants delivered by pediatricians, and critically ill newborn infants admitted to neonatal intensive care unit. Results The risk of severe maternal delivery of high-risk newborns 24.66% of preterm children, full-term children 75.34%; birth weight (3030 ± 823) g, low birth weight children 21.92%, 2.74% of giant children; The rate of newborn birth asphyxia was 56.16%, death was 4 cases, the mortality rate was 5.48%; critically ill newborn scoring method was extremely critically ill in 23 cases, the death of 4 cases were extremely critically ill patients, the mortality of each group The difference was statistically significant (P <0.05). Conclusion The critically ill pregnant women during childbirth may be able to cooperate with pediatricians to improve the success rate of neonatal asphyxia and rescue the critically ill newborn to improve the prognosis of critically ill newborns.