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由围生儿引起的产科纠纷日益增多,单凭Apgar评分来诊断围生儿窒息因受主观因素影响,特异性差,致产科医师处于无证可循状态。在胎儿出生时立即脐动脉血检测,是胎儿血气和酸碱状况最客观、最可靠的指标,也是分析产程事件和新生儿之间关联的重要证据。但仅从血pH正常不能否定胎儿缺氧,而脐动脉血乳酸与血pH至显著负相关,表明脐动脉血乳酸是一种诊断胎儿窘迫的方法,能否得到及时干预将影响新生儿预后,避免误诊和不必要的法律纠纷。
Due to the increasing number of obstetric disputes caused by perinatal children, Apgar score alone to diagnose perinatal asphyxia due to subjective factors, the specificity is poor, resulting in obstetrics and gynecology in a state without a license. Umbilical arterial blood testing at the time of birth is the most objective and reliable indicator of fetal blood gas and acid-base status and is an important evidence for analyzing the association between labor-induced events and newborns. But only from the normal blood pH can not deny the fetus hypoxia, and umbilical artery blood lactate and blood pH to a significant negative correlation, indicating that umbilical arterial blood lactate is a method of diagnosis of fetal distress, whether timely intervention will affect the prognosis of newborns, Avoid misdiagnosis and unnecessary legal disputes.