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窒息至今仍是新生儿主要死亡原因之一。1963年在《第六届全国儿科学术会议》上拟订了关于新生儿窒息抢救方法的建议(中华儿科杂志1965;14:136)后,通过20年的实践,为了便于进一步提高抢救效果,特予修订如下:凡足以造成母体和胎儿间血液循环和气体交换障碍的原因,皆可造成胎儿宫内窒息,进而导致新生儿窒息。由于呼吸障碍,血氧含量迅速下降,造成血液重新分布,非生命器官,如肠、肾、肌肉及皮肤的血管收缩,以保证脑、心肌、肾上腺等生命器官的供血。当缺氧继续加重,乳酸堆积,造成代谢性酸中毒,pH 明显下降。窒息早期由于儿茶酚胺释放,可
Asphyxia is still one of the major causes of death in newborns. In 1963, at the “Sixth National Pediatric Academic Conference”, a proposal on how to rescue neonatal asphyxia (Journal of Pediatrics 1965; 14: 136) was drafted. After 20 years of practice, in order to further improve the rescue effect, Be amended to read as follows: Anything sufficient to cause blood circulation and gas exchange disorders between the mother and the fetus may result in asphyxia in the fetus, which may lead to asphyxia of the newborn. Due to respiratory disorders, the rapid decline in blood oxygen content, resulting in blood redistribution, non-living organs, such as intestine, kidney, muscle and skin vasoconstriction to ensure that brain, myocardium, adrenal and other vital organs of blood supply. When hypoxia continues to increase, lactic acid accumulation, resulting in metabolic acidosis, pH decreased significantly. Asphyxia early release due to catecholamines