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Progostic Factors in Neonatal Asphyxia.

Journal of the Korean Pediatric Society 1986;29(4):420-425.
Published online April 30, 1986.
Progostic Factors in Neonatal Asphyxia.
Hye Li Chung, Wan Sup Kwak, Haeng Mi Kim, Doo Hong Ahn
Department of Pediatrics, School of Medicine, Kyungpook National University, Taegu, Korea
신생아 질식의 예후와 관계되는 요인들
정혜리, 곽완섭, 김행미, 안두홍
경북대학교 의과대 학 소아과학교실
A clinical study was conducted on 30 term babies with neonatal asphyxia, who were admitted to Pediatric Department of Kyungpook National University Hospital during 2years period from May 1983 to April 1985. Of the 20 cases returned to follow up, 15 cases were neurodevelopmentally normal but 5 cases were retarded with neurologic disability. Retarded case revealed higher incidence of severe asphyxia at 5 minutes, encephalopathy which stays at stage 2 for more than 4 days or extended to stage 3, early onset seizure, need of gavage feeding for more than 4 days and abnormal finding on brain CT comparing to normal cases. The results suggest that clinical observation (Apgar score at 5 minutes, stage of encephalopathy, seizure and feeding status) with brain CT study is valuable in determining the neurologic outcome of asphyxiated term newborns.
Key Words: Neonatal asphyxia, Prognostic factors.

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