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本文综述新生儿心肺复苏的进展及心肺复苏的生理资料。1 概况新生儿复苏可分为四个主要步骤:(1)初步稳定和评估,包括吸引、擦干、安置、吸氧和评估;(2)通气,包括气囊-面罩通气及气管内插管;(3)胸外心脏按压;(4)药物治疗。需要指出的是新生儿均难于耐受冷环境,娩出后迅速擦干净婴儿并保暖以减少热丢失对复苏成功相当重要,进一步的复苏仅在体温调节开始后进行。2 通气及气道管理如果婴儿娩出后窒息或呼吸急促,须行正压通气(PPV),欲使萎陷的肺扩张,开始时可能
This article reviews the progress of cardiopulmonary resuscitation and the physiological data of cardiopulmonary resuscitation. 1 Overview Neonatal resuscitation can be divided into four main steps: (1) initial stabilization and assessment, including aspiration, wiping, placement, oxygenation and assessment; (2) ventilation, including balloon- mask ventilation and endotracheal intubation; (3) chest compression; (4) drug treatment. It is important to point out that it is difficult for newborns to tolerate cold conditions. Rapid wiping of clean infants after delivery and keeping warm to reduce heat loss is important for the success of recovery. Further recovery occurs only after thermoregulation starts. 2 Ventilation and Airway Management If the infant is asphyxiated or has shortness of breath after delivery, positive pressure ventilation (PPV) is required. To expand the collapsed lung,