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对象:96例均为收住病例,男78例,女18例.随机分成对照组(鼻导管吸氧)50例和观察组(鼻导管吸氧加输充氧后新鲜血)46例(见表1).两组性别、年龄、发病时间及窒息的程度等各种自然情况无明显差异,有一定的可比性.诊断标准:96例患儿均有不同程度的窒息史,1分钟Apgra评分<4’的均有不规则的呼吸、青紫、惊厥.头颅CT提示均有不同程度及部位脑缺氧表现(其中有部分有颅内出血).青紫者PaO_2<6.67kPa.治疗方法:对照组采用鼻导管吸氧,鲁米那、安定镇静止惊,小剂量20%甘露醇加地塞米松脱水以减轻脑水肿,胞二磷胆碱、东莨菪碱以促进脑代谢,
PARTICIPANTS: Ninety-six cases were admitted to hospital, including 78 males and 18 females, randomly divided into control group (nosocomial oxygen inhalation) 50 cases and observation group 46 cases (nasal oxygenation plus fresh blood after oxygen infusion) Table 1) .The two groups of gender, age, onset time and degree of asphyxia and other natural conditions no significant difference, there is a certain comparability.Diagnosis criteria: 96 cases of children with varying degrees of asphyxia history, 1 minute Apgra score <4 ’had irregular breathing, bruising, convulsions.Cometacral CT tips have different degrees and parts of the performance of cerebral hypoxia (some of which have intracranial hemorrhage.) Cyan PaO_2 <6.67kPa. Treatment: control group using Nasal catheter oxygen, luminal, stable calm Jing, small doses of 20% mannitol plus dexamethasone dehydration to reduce cerebral edema, citicoline, scopolamine to promote brain metabolism,