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Neonatal hypoxic ischemic encephalopathy treatment of 108 cases
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Neonatal hypoxic ischemic encephalopathy treatment of 108 cases
[Keywords:] neonatal hypoxic ischemic encephalopathy
Neonatal hypoxic ischemic encephalopathy (HIE is due to perinatal asphyxia, anoxia caused by hypoxic-ischemic brain damage, nervous system abnormalities appear a series of clinical performance. Is caused by perinatal causes of neonatal death one of the survivors of the sequelae of nervous system damage left more seriously affected the quality of life of children, so far, there is no effective treatment at home and abroad .2005 January ~ August 2006 admitted to NICU in our hospital 108 cases of children with HIE in Application of comprehensive treatment on the basis of a special drug treatment, and achieved a certain effect, are as follows.
1 Materials and Methods
1.1 General information on 108 patients in this group, male 75 cases, 33 females, birth Apgar score 0 to 3 points in 62 cases, 4 to 7 minutes and 46 cases were diagnosed by neonatal HIE and the clinical classification according to the standard [1], in degree in 48 cases, 60 cases of severe, there is the history of obstetric recovery, there are different levels of nervous system abnormalities, such as irritability, poor response, or full fontanelle tension, pupil changes, limbs trembling, muscle tension changes, convulsions, apnea, coma, associated with disease: 98 cases of neonatal aspiration pneumonia, postoperative recovery, 83 cases of neonatal asphyxia, intracranial hemorrhage in 16 cases, 49 cases of metabolic acidosis, electrolyte disturbance in 35 cases, 46 cases of neonatal hyperglycemia, newborn children of low blood sugar, 33 cases of neonatal hyperbilirubinemia in 17 cases, 15 cases of upper gastrointestinal bleeding, sepsis in 4 cases, 2 cases of meningitis.
1.2 Signs and symptoms generally have intrauterine hypoxia or intrapartum asphyxia, the incidence in within 3 days after birth, most of the 24 h after birth, the performance of the re
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