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首页> 外文期刊>American Journal of Perinatology >Apgar Scores at 10 Minutes and Outcomes in Term and Late Preterm Neonates with Hypoxic-Ischemic Encephalopathy in the Cooling Era
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Apgar Scores at 10 Minutes and Outcomes in Term and Late Preterm Neonates with Hypoxic-Ischemic Encephalopathy in the Cooling Era

机译：APGAR分数在10分钟内分解10分钟和晚期早产新生儿，在冷却时代的缺氧缺血性脑病

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Objective To determine the short-term outcomes (abnormal brain magnetic resonance imaging [MRI]/death) in infants born with a 10-minute Apgar score of 0 who received therapeutic hypothermia and compare them with infants with higher scores. Study Design This is a retrospective review of 293 neonates (gestational age >= 35 weeks) born between November 2006 and October 2015 admitted with hypoxic-ischemic encephalopathy who received therapeutic hypothermia. Results of brain MRIs were assessed by the basal ganglia/watershed scoring system. Short-term outcomes were compared between infants with Apgar scores of 0, 1 to 4, and >= 5 at 10 minutes. Results Eight of 17 infants (47%) with an Apgar of 0 at 10 minutes survived, having 4 (24%) without abnormalities on the brain MRI and 7 (41%) without severe abnormalities. There was no significant difference in the combined outcomes of "death/abnormal MRI" and "death/severe abnormalities on the MRI" between infants with Apgar scores of 0 and 1 to 4. Follow-up data were available for six of eight surviving infants, and none had moderate or severe neurodevelopmental impairment. Conclusion In the cooling era, 47% of infants with no audible heart rate at 10 minutes and who were admitted to the neonatal intensive care unit survived; 24% without abnormalities on the brain MRI and 41% without severe abnormalities.
机译：目的确定婴幼儿的短期结果（异常脑磁共振成像[MRI] /死亡），10分钟的APGAR评分为0，谁接受治疗体温过低，并将其与具有较高分数更高的婴儿进行比较。研究设计这是对2006年11月至2015年10月至2015年10月期间的293个新生儿（孕龄> = 35周）的回顾性审查，所述缺氧缺血性脑病接受治疗体温过低。基础神经节/流域评分系统评估了脑MRIS的结果。在10分钟内比较了婴儿疟疾分数的婴儿的短期结果，> = 5。结果17名婴儿（47％）的八个（47％）在10分钟内享受0分钟，在脑MRI和7（41％）上没有异常而没有严重异常的蚜虫。 “死亡/异常MRI”和“MRI的死亡/严重异常”在婴儿患者的APGAR评分为0和1至4中的婴儿之间的“死亡/严重异常”中没有显着差异。随访数据可用于六个幸存的婴儿中的六个，没有中度或严重的神经发育障碍。结论在冷却时代，47％的婴儿在10分钟内没有听觉的心率，均被纳入新生儿重症监护病房; 24％没有脑MRI异常，41％没有严重异常。

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