英新生兒窒息與新法復(fù)蘇-閱讀頁
2025-06-10 18:19本頁面
【正文】 hypoxicischemic encephalopathy) and ICH (intracranial hemorrhage) 5. Metabolism acidosis, hypoglycemia and electrolyte disturbances； 6. gastrointestinal tract (GIT) stress ulcer NEC (necrotizing enterocolitis), jaundice aggratate. Systems damaged by Asphyxia in perinatal period ———————————————————————————— damage central nervous system hypoxicischemic encephalopathy, intracranial hemorrhage, encephaledema urinary system glomerular filtration rate and/or tubular reabsorption function damage, renal tubular necrosis, renal failure cardiovascular system mitral insufficiency, myocardiolysis, cardia failure， shock respiratory system pulmonary hypertension, meconium aspirated pneumonia, alveolus surface active substance decrease metabolism acidosis, hypoglycemia, hypocalcemia, ADH secrete increase digestive system stress ulcer， NEC (necrotizing enterocolitis), liver functional lesion skin subcutaneous fat necrosis hematological system DIC (disseminated intravascular coagulation]) 四 laboratory examination 1. take blood out of intrauterine apnea baby’s scalp by amnioscope or fetus outerop of cervix uteri to measure its pHhow to rescue the baby. 2. after birth, blood gas, blood sugar, electrolyte, blood urea nitrogen and creatinine, typeB ultrasonic or CT scan developmently, 五 Treatment 1. the resuscitation should be carried out by pediatrician cooperated with obstetrician 2. should be familiarity with the baby’s delivery history, and do the full prepare for skill and operation, apparatus and device beforehand。 ⑵ use warm and dry towel to mop the baby。 ⑸ tactile stimulus if the baby still has no breath after above management, could flap the sole twice and rub its back 。 ③ the result is poor using resuscitaing。 notice acidbase imbalance, electrolyte disturbances, abnormity of urination and defecation, infection and feeding etc. 出生 ?是否足月？ ?是否羊水清？ ?是否有呼吸和哭聲？ ?是否肌張力好？ ?保溫 ? 擺正體位， 通暢氣道 ? 擦干 ,刺激 , 重新擺正體位 評(píng)價(jià)心率、呼吸和膚色 常壓給氧 常規(guī)護(hù)理 ? 保溫 ? 必要時(shí)通暢氣道 ? 擦干 觀察護(hù)理 是 正常呼吸 心率 100 及 膚色紅潤 否 紫紺 膚色紅潤 2022 NRP 流程圖 Harris AP et al. J Pediatr 1986。38:87 Toth B et al. Arch Gyn Obst 2022。 nervous system persistence for 2 weeks. thank you listening ?。?
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