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胎粪吸入性肺炎(以下简称本病)是新生儿早期常见病之一。多见于过期产儿、足月儿与小样儿。现将笔者所参与抢救的32例作一临床分析。临床资料32例中,男18例,女14例。过期产者12例,足月产者20例,其中小样儿4例。出生体重>4000克者2例,2500～4000克者26例,<2500克者4例(均为小样儿).分娩方式;自然分娩10例,其中脐带绕颈7例。异常分娩22例,其中剖腹产14例、用中位产钳助产5例、负压吸引产3例。出生时均有窒息史。1分钟 Apgar 评分结果:0～3分者20例,4～7分者12例。
Meconium aspiration pneumonia (hereinafter referred to as the disease) is one of the common neonatal early. More common in expired children, full-term children and small samples. Now the author involved in the rescue of 32 cases for a clinical analysis. 32 cases of clinical data, 18 males and 14 females. Overdue birth in 12 cases, 20 cases of full-term birth, of which 4 cases of small samples. Birth weight> 4000 grams in 2 cases, 2500-4000 grams in 26 cases, <2500 grams in 4 cases (all small samples). Mode of delivery; natural childbirth in 10 cases, including the umbilical cord around the neck in 7 cases. Abnormal delivery in 22 cases, of which 14 cases of Caesarean section, with midline forceps midwifery in 5 cases, 3 cases of negative pressure to attract labor. Have a history of suffocation at birth. 1 minute Apgar score results: 0 to 3 points in 20 cases, 4 to 7 points in 12 cases.