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我院自1986年7月采用脐静脉一次性注射青霉素和维生素K_1代替常规的肌注。通过临床观察,效果良好。资料与方法1.应用对象:在我院住院分娩的早产儿、各种手术产儿以及自然分娩中Apgar评分≤7分者共276例。其中早产儿12例,胎吸助产儿16例,产钳助产儿7例,臀牵引儿22例,剖宫产儿15例,自然产的窒息儿201例。2.材料:①将3～9号头皮针针尖截去磨平,用75%酒精浸泡备用。②注射液的配制:青霉素80万U+10%葡萄糖5ml;维生素K_110mg+10%葡萄糖5ml。3.操作方法:新生儿娩出后清理呼吸道,若有窒息进行复苏处理。在距脐轮约10cm 处切断脐带,接生者左手拇、食指捏住脐带,右手持止血钳展平脐带断
Our hospital since July 1986 using umbilical vein injection of penicillin and vitamin K_1 instead of conventional intramuscular injection. Through clinical observation, the effect is good. Materials and methods 1. Object: Preterm infants hospitalized in our hospital, a variety of surgical children and natural childbirth Apgar score ≤ 7 points a total of 276 cases. Among them, 12 cases of premature children, 16 cases of fetal aspiration, 7 cases of forceps, 7 cases of hip traction, 15 cases of cesarean section and 201 cases of spontaneous asphyxia. 2. Material: ① 3 ~ 9 scalp needle tip cut off polished, soaked with 75% alcohol spare. ② injection preparation: penicillin 800000 U + 10% glucose 5ml; vitamin K_110mg + 10% glucose 5ml. 3. Method of operation: clean up the respiratory tract after delivery of newborns, if suffocation for resuscitation. At a distance of about 10cm from the umbilical cord cut off the umbilical cord, the recipient left thumb, index finger pinch the umbilical cord, the right hand hemostatic forceps flat umbilical cord