CARDIOPULMONARY-RESUSCITATION OF APPARENTLY STILLBORN INFANTS - SURVIVAL AND LONG-TERM OUTCOME
CARDIOPULMONARY-RESUSCITATION OF APPARENTLY STILLBORN INFANTS - SURVIVAL AND LONG-TERM OUTCOME
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DOI：
10.1016/s0022-3476(05)80046-0
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发表时间：
1991-05-01
影响因子：
5.1
通讯作者：
SHEFTEL, D
中科院分区：
文献类型：
--
作者：
JAIN, L;FERRE, C;SHEFTEL, D
为了确定接受心肺复苏的明显死产婴儿的结局，我们研究了 93 名出生后 1 分钟阿普加评分为 0 并在出生时接受复苏的婴儿的短期和长期结局。 62 名（66.6%）做出回应并活着离开产房； 62名婴儿中有26名（42%）在新生儿期死亡，36名婴儿出院回家； 36 名婴儿中，有 3 名随后在婴儿期死亡。 33 名幸存者中，有 10 人出院后失访。对 33 名长期幸存者中的 23 名进行发育评估，结果显示 14 名（61.7%）结果正常，6 名（26%）结果异常，3 名（13%）处于可疑状态。 58 名婴儿在大于或等于 10 分钟时阿普加评分为 0，除 1 名外全部死亡；幸存的婴儿发育异常。我们得出的结论是，经过复苏的明显死产婴儿中有 39% 存活到了新生儿期之后，并且在可进行发育随访的 23 名幸存者中，有 61% 在上次检查时发育正常。如果复苏 10 分钟后没有反应，则不太可能存活。
To determine the outcome of apparently stillborn infants who received cardiopulmonary resuscitation, we studied the short- and long-term outcome of 93 infants who had an Apgar score of 0 at 1 minute of age and were resuscitated at birth. Sixty-two (66.6%) responded and left the delivery room alive; 26 (42%) of the 62 infants died in the neonatal period and 36 infants were discharged home; of the 36 infants, three subsequently died during infancy. Of the 33 survivors, ten were lost to follow-up after discharge. Developmental assessment of 23 of 33 long-term survivors revealed normal outcome in 14 (61.7%), abnormal results in 6 (26%), and suspect status in 3 (13%). Fifty-eight infants had an Apgar score of 0 at greater-than-or-equal-to 10 minutes of age and all except one died; the surviving infant has an abnormal developmental outcome. We conclude that 39% of apparently stillborn infants who were resuscitated survived beyond the neonatal period and that 61% of the 23 survivors who were available for developmental follow-up had normal development at the time of last examination. Survival was unlikely if there was no response after 10 minutes of resuscitation.