摘要
目的 探讨新生儿重度窒息复苏后抢救的方法,为降低临床新生儿死亡率及并发症的发生提供理论参考依据.方法 纳入2011年4月～2013年10月诊治的113例重度窒息新生儿复苏后抢救的临床资料,分析113例新生儿产生窒息的原因,窒息后出现的并发症,并对重度窒息患儿采取吸氧、保暖、体位引流、翻身叩背、预防感染等抢救措施,同时监测心率、血压和血气等变化.结果 113例重度窒息新生儿复苏后经抢救治愈69例（61.06％）,好转24例（21.24％）,死亡6例（5.31％）,转院14例（12.39％）.结论 新生儿重度窒息的原因主要有胎儿宫内窘迫、胎盘早剥、胎儿发育迟缓等,对新生儿重度窒息复苏后采取吸氧、保暖、体位引流、翻身叩背等抢救措施,可降低新生儿的伤残率及死亡率,值得临床进一步深入探讨。
Objective To study the causes of severe asphyxia and rescue measure after recover. Methods The clinical data of 113 severe asphyxia newborns were included. The reason and implications of severe asphyxia, emergency measures such as oxygen inhalation, heat preservation, postural drainage, percussion on back and prevent infection, mo- nitoring heart rate, blood pressure and blood gas were analyzed. Results Of 113 severe asphyxia newborn, 69 cases were cured（61.06%）, 24 cases were improved （21.24%）, 6 cases were died （5.31%） and 14 cases were transfered （12.39 %）. Conclusion Reasons of neonatal severe asphyxia were fetal intrauterine distress, placental abruption, developmental delays, etc. Emergency measures such as oxygen inhalation, heat preservation, postural drainage, percussion on back and prevent infection can reduce the disability and mortality of neonatal and are worthy of further exploring.
出处
《西部医学》
2015年第5期720-722,共3页
Medical Journal of West China
基金
广东省教育厅医学教育项目(201201301024)
关键词
新生儿
重度窒息
复苏抢救
并发症
临床分析
Newborn
Severe asphyxia
Recovery rescue
Complications
Clinical analysis
