Umbilical Arterial Blood Gas Analysis in Neonatal Asphyxia and Multiple Organ Dysfunction Diagnosis
Author：LI Zhi-tao, LI Li-xin, BAO Li-na
affiliation：Guangzhou Baiyun District Maternal and Child Health Hospital, Guangzhou 510400, Guangdong Province, China
PDFAbstract
Objective To study the neonatal asphyxia multiple organ damage in clinical diagnosis of umbilical arterial blood gas analysis combined with Apgar score value. Methods 112 cases of newborns with asphyxia from 2014 to 2016 in our hospital 112 cases, respectively, Apgar scores and umbilical arterial blood pH value and the value of the standard BE predict multiple organ damage. Results The incidence of organ damage. Damage in children with multiple organ for 44.64% to 1 minutes (50/112). Apgar =7or3 as the standard, multiple organ damage, the positive predictive value was 46% and 64%, the sensitivity was 30.26% and specificity was 50.79%, 25% and 63.27%; the pH is in 7 or BE under -16mmol/L standard, positive predictive value 72%, the sensitivity was 65.45%, specificity was 75.44%. Conclusion The arterial blood gas analysis of pH and BE can be used as the evaluation index of neonatal asphyxia and multiple organ damage, combined with the Apgar score can improve the diagnostic accuracy.
【Keyword】Umbilical Arterial Blood Gas Analysis; Neonatal Asphyxia; Multiple Organ Damage
【Chart number】R657.7
【Document Identification Number】A
【DOI】10.3969/j.issn.1009-3257.2016.04.018
Journal of Rare Diseases
th23Volume， th 5 Issue
2019Year11Month
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