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新生儿窒息的抢救及护理 |
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新生儿窒息的抢救及护理
摘要 目的：新生儿窒息是新生儿死亡的主要原因，正确及时的抢救窒息新生儿是降低新生儿死亡率，减少新生儿后遗症的关键。复苏后的护理和严密监测提高了抢救新生儿窒息的成功率。方法：窒息新生儿娩出后应立即清除呼吸道分泌物，尽快建立呼吸以纠正缺氧，当清理呼吸道后，窒息仍未改善，应使用气管插管及时清除呼吸道深部粘稠的分泌物，保持呼吸道通畅后加压给氧，同时配合体外心脏按摩维持正常循环，直至建立自主呼吸。在重度窒息新生儿的抢救中，应及时脐静脉注射复苏药物以挽救新生儿的生命。结果：窒息新生儿经清理呼吸道分泌物、气管插管和给氧后，新生儿各项生命体征恢复正常，皮肤转红，开始有规律的自主呼吸。结论：在抢救新生儿窒息过程中，产房内医生、助产士、护士应熟练掌握气管插管等各项急救技术和熟悉各类抢救药品，并在新生儿复苏后对其密切监护，通过急救及护理总结经验，提高抢救成功率
关键词 新生儿窒息 抢救 护理
Abstract objective:The suffocation of neonates is the main reason causing their death.To rescue suffocated neonates correctly and timeIy is the key to reduce neonatal mortality rate and the sequela of neonates.And nursing after resuscitation,as well as strictly monitoring can increase success ratio of rescue such babies.Methods: After the suffocated neonates are born,we should clear the secretion of their respiratory tracts immediately and make them breathe as soon as possible.If suffocation keeps going after clearing the respiratory tract,we should timely use endotracheal intubation to clear the ropy secretion in the deep of the respiratory tract,maintain the respiratory tract unobstructed,and then use oxygen therapy,meanwhile cooperating with externaI cardiac massage to maintain normal circulation,until the babies can breathe by themselves.In the rescue of serious suffocated neonates,we should timely give them umbilical vein injection of medicine to save their lives.Results: After clearing the secretion in the respiratory tract,endotracheal intubation and oxygen therapy,every vital sign of the neonates will become normal,and the neonates begin to breathe by themselves regularly.Conclusion:during the process of rescue a suffocated neonate,the doctors,midwives,and nurses in the delivery room should masterly manage all rescue skills such as endotracheal intubation and know all sorts of rescue medicines well,and monitor strictly after the neonates re[1] [2] [3] [4] 下一页
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