Symptoms of neonatal hypoxic encephalopathy

summary

Neonatal hypoxic-ischemic encephalopathy refers to the hypoxic-ischemic damage of brain caused by perinatal asphyxia. There were a series of clinical manifestations of encephalopathy. This disease is not only a serious threat to the lives of newborns, but also one of the most common causes of disabled children after neonatal period. Symptoms of neonatal hypoxic encephalopathy? Let's talk about it

Symptoms of neonatal hypoxic encephalopathy

Mild: hyperawakefulness, irritability, excitement and high excitability (shaking, tremor), normal muscle tension, active hugging reflex, normal sucking reflex, stable breathing, no convulsion. Most of the symptoms disappeared within 3 days, and the prognosis was good.

Moderate: depression, drowsiness or light coma, hypotonia, 50% of the cases had convulsion, apnea and weak sucking reflex. The decrease of muscle tension in the upper limbs is more serious than that in the lower limbs in term infants, which indicates that the lesions involve the parasagittal sinus area. If the muscle tension of lower limbs is lower than that of upper limbs in preterm infants, it indicates that the lesion is periventricular leukomalacia. If the symptoms last for more than 7 to 10 days, there may be sequelae.

Severe: the child is in a coma state, with extremely low muscle tension, weakness, disappearance of hugging reflex and tendon reflex, unequal pupil size, poor response to light, protrusion of anterior fontanel, frequent convulsions, irregular or apnea breathing, and even respiratory failure. The mortality of severe children is high, and the survivors often have sequelae.

matters needing attention

Pregnant women should do prenatal examination regularly, in order to find out and various pregnancy complications, complications and other high-risk factors in time, so as to avoid or reduce the occurrence of fetal intrauterine hypoxia and dystocia. If high-risk pregnancy is found, it should be treated in time to avoid premature delivery and surgical delivery; Improve obstetric technology; To monitor the fetal heart rate of high-risk pregnancy, early detection and treatment of fetal distress.