查詢結果分析
相關文獻
- Risk Factors of Mortality in Meconium Aspiration Syndrome: Review of 314 Cases
- System-based Strategy for the Management of Meconium Aspiration Syndrome: 198 Consecutive Cases Observations
- Comparison of the Outcome of Extremely-Low-Birth-Weight Infants between Two Periods
- 精神科專科醫院急性住院患者之死亡率
- 臺灣地區死亡率現況的實證研究
- Factors Affecting the Mortality of Sick Newborns Admitted to intensive Care Units
- 機動車事故傷害發生地、死亡地與戶籍地關係之初探:花東經驗
- 我國出生通報制度建立後對嬰兒死亡率之影響分析
- 臺灣歷史上的疾病與死亡
- 磷胺化合物處理材之抗白蟻性
頁籤選單縮合
題 名 | Risk Factors of Mortality in Meconium Aspiration Syndrome: Review of 314 Cases=胎便吸入症候群的死亡危險因子:314病例分析 |
---|---|
作 者 | 林鴻志; 蘇百弘; 林宗文; 彭慶添; 蔡長海; | 書刊名 | 臺灣兒科醫學會雜誌 |
卷 期 | 45:1 民93.01-02 |
頁 次 | 頁30-34+61 |
分類號 | 417.53 |
關鍵詞 | 胎便吸入症候群; 死亡率; 死亡危險因子; Meconium aspiration syndrome; Mortality; Asphyxia; Pneumothorax; Persistent pulmonary hypertension of newborn; |
語 文 | 英文(English) |
中文摘要 | 胎便吸入症候群仍然是足月新生兒常見且嚴重的呼吸道疾病。爲探討胎便吸入症候群死亡的危險因子,研究自爲1995至2001年共7年。進行了胎便吸入症候群的回溯性研究,除去先天性發紺性心臟病和先天性致命性异常之個案,所有胎便吸入症候群的病嬰都列入研究。産前、週産期及産後可能的死亡危險因子都被記錄,幷在存活和死亡的病例作比較。七年間共有314例的胎便吸入症候群,以院外生産爲主,占60.8%;總死亡率是4.8%,雖然院內胎便吸入症候群的死亡率趨近於零,但總體上年死亡率在這七年間幷沒有有意義的改變。又變項分析顯示,死亡危險因子包括院外出生嬰兒,黑心診時需急救,第一胎,剛入院時的Ph、OI、AaDO2,住院後2小時的OI、AaDO2,休克、氣胸、室息、肺出血、新生兒肺動脈高壓;回歸分析則顯示窒息,氣胸及新生兒肺動脉高壓是死亡的危險因子,如何减少這些事故,將是降低便吸入症候群死亡的重要因素。 |
英文摘要 | Meconium aspiration syndrome (MAS) is a common severe respiratory disease in full-term infants. To investigate the risk factors for mortality of MAS, a retrospective chart-review study of MAS was conducted from 1995 to 2001. All cases of MAS were included except cases of cyanotic congenital heart disease or congenital fetal anomaly. Prenatal, perinatal and postnatal risk factors of mortality were recorded. The risk factors were compared between surviving and deceased cases. There were 314 cases of MAS during the seven years. Total mortality rate was 4.8% (15/314); this did not change significantly during these years. Risk factors of mortality by univariate analysis were: outborn babies, resuscitation before admission, first born baby, low pH, high oxygen index (OI), high alveolar- arterial oxygen tension gradient (AaDO2) at admission, high Of and AaDO2 at 2 hours after admission, shock, pneumothorax, asphyxia, pulmonary hemorrhage, persistent pulmonary hypertension of newborn (PPHN), and renal failure. Logistic regression analysis showed asphyxia, pneumothorax and PPHN are the most important risk factors of mortality in MAS. How to diminish these events is the key point for reducing the mortality rate of MAS. |
本系統中英文摘要資訊取自各篇刊載內容。