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新生儿窒息是指胎儿娩出1分钟后只有心跳而无呼吸,以致出现一系列呼吸衰竭的临床表现。可由多种原因引起,以脑部缺氧最重要。急救方法为清理呼吸道粘液、注射中枢兴奋药、输氧等;严重者可气管插管加压给氧。但缺氧时应用中枢兴奋药会增加脑细胞对氧的消耗;加压给氧可因加压不妥而损伤肺泡;此外,新生儿窒息是一种紧急情况,血液循环又不正常,若采用皮下、肌肉注药,则难以起到急救作用,所以有人采用脐静脉注射药物。我科应用稀释的过氧化氢溶液脐静脉注射抢救37例新生儿窒息,效果良好,现介绍如下。
Asphyxia neonatorum refers to the fetus after only 1 minute of heartbeat without breathing, resulting in a series of clinical manifestations of respiratory failure. May be caused by a variety of reasons, the most important hypoxic brain. First aid methods to clear the respiratory mucus, injection of central stimulants, oxygen and so on; severe tracheal intubation can be pressurized oxygen. However, the application of central hypoxia stimulants drugs will increase the oxygen consumption of brain cells; pressurized oxygen can be improperly damaged due to pressure on the alveoli; In addition, neonatal asphyxia is an emergency situation, blood circulation is not normal, if used Subcutaneous, intramuscular injection, it is difficult to play a first aid role, so some people use umbilical vein injection of drugs. Application of dilute hydrogen peroxide solution in our department of umbilical vein injection rescue 37 cases of neonatal asphyxia, the effect is good, are described below.