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1996~2002年,我们采用纳络酮治疗新生儿窒息40例,疗效满意。现报告如下。 临床资料:本文80例窒息新生儿,均以Apgar评分判断新生儿窒息程度,其出生时Apgar评分1分钟均<7分。随机分为观察组和对照组各40例,两组临床资料有可比性。两组均用不同型号的吸引管清除鼻孔及口咽误吸物和分泌物,吸氧,注意保暖,并轻刺激皮肤。观察组给予0.9%生理盐水2ml加入纳络酮0.4mg脐静脉注入,30分钟后可重复。对照组给予5%碳酸氢钠10ml加氟美松1mg脐静脉注入,于2~5分钟内静脉注完。待患儿恢复自主呼吸,皮肤颜色转红,哭声均
From 1996 to 2002, we used naloxone to treat 40 cases of neonatal asphyxia, with satisfactory results. The report is as follows. Clinical data: 80 asphyxial newborns in this paper, Apgar score were used to determine the degree of neonatal asphyxia, Apgar score at birth were 1 minute <7 points. Randomly divided into observation group and control group of 40 cases, the clinical data were comparable. Both groups used different types of suction tube to clear the nostrils and oropharynx aspiration and secretions, oxygen, pay attention to keep warm and light stimulation of the skin. Observation group was given 0.9% saline 2ml added naloxone 0.4mg umbilical vein injection, 30 minutes after repeated. The control group was given 5% sodium bicarbonate 10ml plus mefloxacin 1mg umbilical vein infusion, in 2 to 5 minutes intravenously. Children to be resumed spontaneous breathing, skin color turn red, crying are