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我院从1981年7月～1982年2月,在用清理呼吸道粘液、气管插管加压给氧、口对口吹气以及脐静脉注射呼吸兴奋剂的基础上,加用双氧水(过氧化氢)脐静脉注射抢救新生儿窒息20例,全部获得成功。现介绍如下: 一、一般资料(一) 产次:初产18例,经产2例。(二) 分娩方式:自然分娩10例,胎头吸引器助产8例,产钳助产2例。(三) 病理分类:先兆子痫1例,过期妊娠3例,胎膜早破5例,宫内窘迫5例,早产1例,臀产2例。(四) 评分标准:按新生儿评分法(Apgar评分法)进行评分。(附表) 出生后1分钟内的评分为抢救前评分。10分者表示情况良好,6～7分以上者经一般处理即可好转,4～6分以下者需紧急处理。20例中总分在1～3分者14例,4～5分者6例。二、抢救方法对窒息者迅速采取仰卧位,头稍低,在应用传统治疗方法的基础上,用3%双氧水1ml加25%葡萄糖至10ml,按常规消毒后从脐静脉缓慢注射,2～3分钟注毕。疗效不显者5分
Our hospital from July 1981 to February 1982, with clear airway mucus, endotracheal intubation pressurized oxygen, mouth to mouth blowing and umbilical vein injection of respiratory stimulants, plus with hydrogen peroxide (hydrogen peroxide) Umbilical vein injection rescue 20 cases of neonatal asphyxia, all were successful. Are introduced as follows: First, the general information (a) production: primiparous 18 cases, 2 cases of production. (B) mode of delivery: natural childbirth in 10 cases, 8 cases of fetal head suction device midwifery, forceps midwifery in 2 cases. (C) pathological classification: preeclampsia in 1 case, 3 cases of premature pregnancy, 5 cases of premature rupture of membranes, intrauterine distress in 5 cases, 1 case of preterm birth, 2 cases of hip birth. (Four) grading standards: according to neonatal scoring method (Apgar score method) to score. (Schedule) The score within 1 minute after birth is the pre-rescue score. 10 points, said in good condition, 6 to 7 points or more can be improved after the general treatment, 4 to 6 points below the need for urgent treatment. In 20 cases, the total score was 1 to 3 in 14 cases and in 4 to 5 cases in 6 cases. Second, the rescue methods for asphyxial persons to supine position quickly, head slightly lower, in the application of traditional treatment methods based on the use of 3% hydrogen peroxide 1ml plus 25% glucose to 10ml, according to routine disinfection slow injection from the umbilical vein, 2 ~ 3 Note finished minute. 5 curative effect is not significant