Meconium aspiration syndrome.

R Erkkola, P Kero, H Suhonen-Polvi, H Korvenranta
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Abstract

In the years 1977-82, 43 infants with the meconium aspiration syndrome (MAS) were managed at the Department of Paediatrics of Turku University Central Hospital (TUCH), Finland. Among 5,353 deliveries in one year the incidence of meconium staining was 8.7%. By extrapolation, the incidence of meconium aspiration in all newborns is approximately 0.13%. The mean duration of the pregnancies was 39.2 +/- 2.6 (SD) weeks and the weight of newborns was 3570 +/- 692 g which were similar to those of the reference group. The rate of Cesarean sections in the group with MAS was significantly higher than in the reference group (40% and 11.6%, respectively). Sixty-nine per cent of the newborns with MAS showed signs of depression during or after labour, while the incidence of same symptoms in the reference group was only 2.7% (P < 0.001). None of the infants with MAS died. Late sequelae were encountered in three babies in 1 to 6 years of follow-up.

胎粪吸入综合征。
1977- 1982年,芬兰图尔库大学中心医院儿科收治了43例胎粪吸入综合征(MAS)患儿。在一年内5353例分娩中,胎粪染色发生率为8.7%。根据外推法,所有新生儿的胎粪吸入率约为0.13%。平均妊娠期为39.2 +/- 2.6 (SD)周,新生儿体重为3570 +/- 692 g,与对照组相似。MAS组的剖宫产率明显高于对照组(分别为40%和11.6%)。69%的MAS新生儿在分娩期间或分娩后表现出抑郁症状,而参照组中相同症状的发生率仅为2.7% (P < 0.001)。没有一个患有MAS的婴儿死亡。在1 ~ 6年的随访中,有3例婴儿出现晚期后遗症。
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