The prevention of fetal asphyxia or hypoxia starts with prepregnancy counseling and continues with careful antenatal care and intrapartum fetal surveillance. Further progress in eliminating antepartum and intrapartum deaths will only be made when it is accepted that, even with intense investigation by detailed autopsy, the cause of many deaths remains unknown. Many of these deaths may be ascribed to hypoxia. In the future, with more detailed non-invasive probing with CAT scanning and magnetic resonance imaging, other causes may be determined. The mother at risk of hypoxia requires specialized attention. Such mothers will include those with severe cardiac, pulmonary or circulatory problems. Others will be those with endocrine problems, such as diabetes or thyroid dysfunction. At present, failure of fetal growth is generally ascribed to hypoxia, but undoubtedly, in solution to such problems of possible hypoxia is elective delivery at the appropriate time. What Hensleig said in 1986 (Hensleig et al, 1986) is equally true today: 'Preventative programmes will remain unsuccessful until the causation of cerebral palsy is more understood. What we are presently lacking is an understanding of the underlying conditions responsible for brain injury when asphyxia occurs despite our best efforts. While we have learned much about the causation and prevention of perinatal mortality very little has been established about the causation and prevention of cerebral palsy'. Finally, Hall (1989), in a review of birth asphyxia and cerebral palsy, concludes the following five points. 1. The incidence of cerebral palsy is not falling despite improved obstetrics. 2. The cause of more than 90% of cases of cerebral palsy remains unknown. 3. Asphyxia is hard to define and measure and is rarely the cause of cerebral palsy. 4. Hypoxic ischaemic encephalopathy is the most reliable indicator of asphyxia. 5. Neither traditional clinical signs nor electronic monitoring allow reliable recognition of asphyxia.
预防胎儿窒息或缺氧从孕前咨询开始，并继续进行仔细的产前护理和产时胎儿监护。在消除产前和产时死亡方面，只有接受这样一个事实，即即使进行了深入细致的尸检调查，许多死亡的原因仍然不明，才能取得进一步进展。其中许多死亡可归因于缺氧。在未来，通过CAT扫描和磁共振成像进行更详细的非侵入性探查，可能会确定其他原因。有缺氧风险的母亲需要特别关注。这些母亲包括那些患有严重心脏、肺部或循环系统疾病的母亲。其他人将是那些内分泌问题，如糖尿病或甲状腺功能障碍。目前，胎儿生长失败一般归咎于缺氧，但毫无疑问，为了解决这种可能的缺氧问题，在适当的时间选择分娩。Hensleig在1986年所说的话(Hensleig et al, 1986)在今天同样正确:“在脑瘫的病因得到更深入的了解之前，预防计划将不会成功。”尽管我们尽了最大的努力，但我们目前缺乏的是对窒息发生时造成脑损伤的潜在条件的理解。虽然我们对围产期死亡的原因和预防了解很多，但对脑瘫的原因和预防却知之甚少。”最后，Hall(1989)在回顾出生窒息与脑瘫的关系时，总结出以下五点。1. 尽管产科得到了改善，脑瘫的发病率并没有下降。2. 超过90%的脑瘫病例病因不明。3.窒息很难定义和测量，很少是脑瘫的原因。4. 缺氧缺血性脑病是最可靠的窒息指标。5. 传统的临床体征和电子监测都不能可靠地识别窒息。
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{"title":"[Analysis of 2956 cases of suicidal poisoning].","authors":"G Szuchovszky, I Kenyeres, L Harsányi","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":78226,"journal":{"name":"Deutsche Zeitschrift fur die gesamte gerichtliche Medizin","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"1969-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"16442936","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"[Extension fracture of the skull base while using a crash helmet].","authors":"L Nagy, W Haferland","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":78226,"journal":{"name":"Deutsche Zeitschrift fur die gesamte gerichtliche Medizin","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"1969-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"16434682","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"[Burning of the genitalia of a woman because of jealousy. Repeated crime of a severe bodily injury committed with extraordinary cruelty].","authors":"G Vigh, I Bartha","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":78226,"journal":{"name":"Deutsche Zeitschrift fur die gesamte gerichtliche Medizin","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"1969-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"16434680","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"[Use of o-carboxyphenylphosphate for the demonstration of seminal acid phosphatase].","authors":"G Walther","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":78226,"journal":{"name":"Deutsche Zeitschrift fur die gesamte gerichtliche Medizin","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"1969-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"16434681","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"[Forensic studies on the behavior of the umbilical cord in violent rupture].","authors":"P Zink, G Reinhardt","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":78226,"journal":{"name":"Deutsche Zeitschrift fur die gesamte gerichtliche Medizin","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"1969-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"16005658","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"[Suicide of a women with electric current].","authors":"E Böhm","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":78226,"journal":{"name":"Deutsche Zeitschrift fur die gesamte gerichtliche Medizin","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"1969-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"16875341","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"[Cerebral fat embolism in decapitation resulting from being run over by a train].","authors":"D Krause, H Falk","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":78226,"journal":{"name":"Deutsche Zeitschrift fur die gesamte gerichtliche Medizin","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"1969-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"16855106","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"[Determination of phosphoglucomutase types in blood traces].","authors":"B. Brinkmann","doi":"10.1007/BF00584986","DOIUrl":"https://doi.org/10.1007/BF00584986","url":null,"abstract":"","PeriodicalId":78226,"journal":{"name":"Deutsche Zeitschrift fur die gesamte gerichtliche Medizin","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"1969-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"77650261","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"[Ricochet or contact gunshot wound].","authors":"W. U. Spitz","doi":"10.1007/BF00627794","DOIUrl":"https://doi.org/10.1007/BF00627794","url":null,"abstract":"","PeriodicalId":78226,"journal":{"name":"Deutsche Zeitschrift fur die gesamte gerichtliche Medizin","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"1969-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"85101569","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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