为了提高围产期保健质量,降低新生儿的死亡率,对我院212例新生儿窒息进行临床分析如下:1 临床资料 1990年1月～1995年2月在我院出生的活产婴儿3860例,其中发生新生儿窒息212例,死亡8例,病死率3.77％。新生儿轻度窒息132例,重度窒息80例。诊断标准,凡出生后在1、5、10分钟,3次Apgar’评分中有1次≤7分者可诊断为新生儿窒息。4～7分者为轻度窒息,≤3分者为重度窒息。212例窒息中,41～44周者142例(66.98％),37～40周47例(22.17％)。31～36周23例(10.85％)。分娩方式:顺产120例(56.6％);剖腹产41例(19.3％);胎头吸引40例(18.9％);臂位产8例(3.77％);急产3例(1.4％)。脐带异常142例(66.98％),主要是脐带绕颈、先破水和脐带脱垂.羊水污染及胎儿宫内窘迫186例(87.74％)。胎盘功能不全125例,其中有妊娠高血压、妊娠或产前出血、过期产胎盘老化等引起的胎盘功能不全。2 讨论本组病例新生儿窒息发生率为5.49％。病死 In order to improve the quality of perinatal care and reduce neonatal mortality, 212 cases of neonatal asphyxia in our hospital clinical analysis is as follows: 1 Clinical data January 1990 ~ February 1995 3860 cases of live births in our hospital , Of which 212 cases of neonatal asphyxia, 8 died, the fatality rate was 3.77%. Neonatal mild asphyxia in 132 cases, 80 cases of severe asphyxia. According to the diagnostic criteria, those with a score of 7 or less in 3 Apgar scores at 1, 5 and 10 minutes after birth may be diagnosed as neonatal asphyxia. 4 to 7 points were mild asphyxia, ≤ 3 points were severe asphyxia. Among 212 cases of asphyxia, 142 cases (66.98%) were 41-44 weeks and 47 cases (22.17%) were 37- 40 weeks. 31 to 36 weeks in 23 cases (10.85%). Mode of delivery: 120 cases (56.6%) had spontaneous delivery; 41 cases (19.3%) had caesarean section; 40 cases (18.9%) had fetal head; 8 cases (3.77%) had arm production; Abnormal umbilical cord in 142 cases (66.98%), mainly around the neck cord, first broken water and umbilical cord prolapse, amniotic fluid contamination and fetal distress in 186 cases (87.74%). Placental insufficiency in 125 cases, of which pregnancy-induced hypertension, pregnancy or prenatal bleeding, obstetric placental aging caused by placental insufficiency. 2 Discussion The incidence of neonatal asphyxia in this group was 5.49%. Sick