【摘要】 目的　探讨新生儿重度窒息快速有效的复苏方法。方法　对我院 110例新生儿重度窒息的抢救复苏进行回顾性总结分析。根据复苏方法不同分为 3组 :A组 43例 ,胎儿娩出后立即气管插管正压供纯氧 ;B组 3 3例 ,出生后立即经脐静脉注入纳洛酮 (NAL) ;C组 3 4例 ,出生后立即经脐静脉注入碳酸氢钠 (SB)。结果　A组 3min、5minApgar评分≥ 8分者高于B组 (P <0 .0 5 ) ,A、B两组明显高于C组 (P <0 .0 1) .结论　胎儿娩出后立即气管插管正压供氧 ,可迅速解除新生儿缺氧状态 ,复苏成功率高 ,是快速有效的复苏方法 .在不能及时气管插管的情况下 ,经脐静脉注入NAL ,能有效的缩短新生儿窒息时间。C组复苏成功率低 ,并发症多。更多还原

【Abstract】 Objective To investigate the efficiency resuscitation of severe neonatal asphyxia. Methods The study on the resuscitation of severe neonatal asphyxia included 110 cases. They were divided into 3 groups according to different resuscitation.Group A including 43 cases,the fetus were treated with trachea intubation and positive pressure O 2 inspiration immediately after birth.In group B 32 cases,the fetus were injected with naloxone(NAL) through umbilical vein immediately after brith.In group C including 34 cases,the fetus were injected with sodium bicarbonate through umbilical vein immediately after brith.Results The Apgar Scores ≥8 in group A are higher than those in group B at 3 min and 5 min after birth.The Apgar Scores of group A and group B are obviously higher than those of group C.Conclusion The trachea intubation is an efficient resuscitation of severe neonatal asphyxia.If the trachea intubation can not be made in time,the NAL injection through umbilical vein is necessary,which can shorten the time of neonatal asphyxia.更多还原