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药物复苏是胎儿宫内窘迫和新生儿窒息治疗之重要组成部分,现简要阐述如下.1 胎儿宫内窘迫的药物复苏慢性胎儿宫内窘迫之复苏须根据不同病因给药,此处不赘述.急性胎儿宫内窘迫多发生于分娩期,可根据不同情况给予下列药物.1.1 缓解过强的子宫收缩常用抑宫缩药β-肾上腺素能兴奋剂,如舒喘灵、间羟舒喘灵、羟苄羟麻黄碱等.国产舒喘灵为口服制剂,首剂4.8mg 半小时及8小时后再给24mg Arias 用间羟舒喘灵250μg 皮下注射或溶于生理盐水中静脉推注,15例均于8分钟内宫缩减弱,胎心恢复正常.1.2 提高母血氧含量,改善胎儿血氧供应我院自1982年起用新型内给氧剂-晶体过氧化氢碳酸酰胺(简称结晶氧)治疗胎儿宫内窘迫获得良好效果,对脐带及胎盘因素者效果尤好.如1例脐带绕颈7
Drug recovery is an important part of the treatment of fetal distress and neonatal asphyxia, now briefly described as follows.1 The recovery of fetal distress Drugs for the recovery of chronic fetal distress should be based on different causes, not described here. Fetal distress occurs more in the delivery period, according to different circumstances given the following drugs.1.1 to alleviate the uterus contractions commonly used inhibition of uterine contractions β-adrenergic stimulants, such as salbutamol, methotrexate, hydroxyl Benzylhydroxy ephedrine, etc. Domestic Salbutamol oral formulations, the first dose of 4.8mg half an hour and 8 hours after the 24mg Arias with metoclopramide 250μg subcutaneously or dissolved in saline intravenously, 15 cases were Uterine contraction within 8 minutes weakened, fetal heart back to normal.1.2 to improve maternal oxygen content and improve fetal oxygen supply Since 1982, our hospital with a new type of oxygen donor - crystalline hydrogen peroxide carbonic acid amide (referred to as crystalline oxygen) treatment of fetus Intrauterine distress to obtain good results on the umbilical cord and placental factors are particularly effective, such as 1 case of umbilical cord around the neck 7