中国实用妇科与产科杂志

中国实用妇科与产科杂志

• 专题笔谈 • 上一篇    下一篇

脐动脉血气分析的临床应用价值

  

  1. 南方医科大学南方医院妇产科，广东 广州 510515
  • 出版日期:2019-04-02 发布日期:2019-03-28
  • 通讯作者: 王志坚
  • 基金资助:

    南方医科大学校级临床研究启动计划（LC2016PY019）

Clinical application of umbilical artery blood gas analysis.

  1. Department of Obstetrics and Gynecology，Nanfang Hospital of Southern Medical University，Guangzhou 510515，China
  • Online:2019-04-02 Published:2019-03-28

摘要：

脐动脉血气是评估胎儿氧合和酸碱代谢异常的重要指标，是诊断新生儿窒息的重要补充。建议高危孕产妇分娩后及产时可疑胎儿窘迫者常规行脐动脉血气分析，根据血气结果进行高危儿随访和治疗，可最大限度降低近期缺血缺氧性脑病和远期脑瘫等神经系统功能异常的发生率。

关键词: 脐动脉血气, 新生儿窒息, 酸中毒

Abstract:

Umbilical arterial blood gas is an important indicator for assessing fetal oxygenation and acid-base metabolism abnormalities. Furthermore, it is an important supplement for diagnosing neonatal asphyxia. We recommend routine umbilical arterial blood gas analysis in high-risk pregnant women with post-partum and intra-partum suspicion of fetal distress. The follow-up and treatment of high-risk infants based on blood gas results can reduce the incidence of neurological dysfunctions such as ischemic hypoxic encephalopathy and long-term cerebral palsy in the near future.

Key words: umbilical artery blood gas, neonatal asphyxia, acidosis

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