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新生儿窒息为胎儿娩出后仅有心跳而无呼吸或未建立规律呼吸的缺氧状态。为新生儿死亡的主要原因之一,是出生后的一种紧急情况,必须争分夺秒地抢救和正确处理,以降低新生儿死亡率及预防远期后遗症。临床实践中,我们对新生儿重度窒息,除应用呼吸中枢兴奋剂、强心剂及纠正酸中毒外,早期及时采用经口腔盲探气管插管,清除气管内粘液和羊水、吸氧及建立人工呼吸,收到满意效果,介绍如下。手术方法:先将儿头尽量后仰,使口腔、咽、喉几乎成为一条直线,术者左手掌向上,以左手食指伸入新生儿口腔,经舌根至会厌,食指尖可触及气管开口及其后方较硬之环状软骨,固定左手食指于环状软骨处,右手沿左手食指掌面将导管插入气管内约1cm,抽回左手食指,固定导管,抽取管芯,进行吸痰及人工呼吸,直至自主呼吸建立后拔出气管内导管。体会:作者应用上述方法抢救新生儿窒息150例
Neonatal asphyxia is the only heartbeat after delivery of the fetus without breathing or lack of regular breathing hypoxia. One of the major causes of neonatal death is an emergency after birth that must be rescued and properly treated in order to reduce neonatal mortality and prevent future sequelae. In clinical practice, we used neonatal severe asphyxia, in addition to the application of respiratory center stimulant, tonic and correct acidosis, early and timely use of oral blind tracheal intubation, removal of endotracheal tube mucus and amniotic fluid, oxygen and the establishment of artificial respiration, Received satisfactory results, introduced below. Surgical methods: first child as far as possible backwards so that the mouth, pharynx, laryngeal almost become a straight line, the surgeon left palm up to the left index finger into the mouth of the newborn, through the tongue to epiglottis, the index finger tip can reach the tracheal opening and its The harder crescent behind the cartilage, fixed the left index finger at the annular cartilage Department, the right hand along the left index finger palm of the catheter into the trachea about 1cm, withdraw the left index finger, fixed catheter, drawing die, suction and artificial respiration until spontaneous breathing established Pull out the endotracheal tube. Experience: The authors apply the above method to rescue 150 cases of neonatal asphyxia