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目的 探讨气管内冲洗对窒息新生儿合并症及预后的影响。方法 将 81例窒息新生儿分为三组 :即刻气管内冲洗组、延迟气管内冲洗组和未进行气管内冲洗组 ,观察对预后的影响。结果 气管内冲洗愈早 ,并发症愈少。其中肾衰、重度缺氧缺血性脑病 (HIE)、新生儿颅内出血 (ICH)的发生率 ,即刻气管内冲洗组明显低于延迟冲洗及未冲洗组 (P <0 0 1) ,住院天数亦明显缩短 (P <0 0 5 )。结论 气管内冲洗是可靠的、有效的急救措施。气管内冲洗时间愈早愈好
Objective To investigate the effect of intratracheal flushing on neonatal complications and prognosis of asphyxia. Methods 81 neonates with asphyxia were divided into three groups: immediate endotracheal flushing group, delayed endotracheal flushing group and no endotracheal flushing group, and the effect on prognosis was observed. Results The earlier the endotracheal flushing, the less complications. Incidence of renal failure, severe hypoxic-ischemic encephalopathy (HIE) and neonatal intracranial hemorrhage (ICH) was significantly lower in the immediate endotracheal group than in the delayed and non-irrigated groups (P <0.01), hospital stay Also significantly shortened (P <0 05). Conclusion Endotracheal irrigation is a reliable and effective first aid measure. The sooner the better the tracheal flushing time