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新生儿窒息是胎儿在子宫内缺氧及酸中毒的继续,以出生时呼吸、微循环功能不全为主要表现的综合征。由于缺氧,直接影响各器官的功能,严重者可因呼吸、循环衰竭而死亡,即使幸存也可导致缺氧性脑损伤,留下脑瘫及智力低下等后遗症。因此,新生儿窒息的抢救及复苏,常需产科、儿科,甚至麻醉科医务工作者密切配合,以提高抢救成功率。复苏的步骤是以清除呼吸道粘液保持气道通畅,人工通气及恢复循环保持足够心输出量为主,必要时再辅以药物复苏,本文仅就新生儿窒息的复苏用药,简述如下。
Neonatal asphyxia is the fetus in the uterus, hypoxia and acidosis continued to respiratory distress at birth, microcirculation dysfunction as the main manifestation of the syndrome. Because of hypoxia, a direct impact on the function of various organs, severe cases can be due to respiratory failure, circulatory failure and death, even if the survival can also lead to hypoxic brain injury, leaving cerebral palsy and mental retardation and other sequelae. Therefore, the rescue and recovery of neonatal asphyxia often require obstetric, pediatric, and even anesthesia medical workers in close cooperation to improve the success rate of rescue. Resuscitation steps to clear the airway mucus to maintain airway patency, artificial ventilation and recovery cycle to maintain adequate cardiac output, if necessary, supplemented by drug recovery, this article only on neonatal asphyxia recovery medication, summarized as follows.