【摘要】 胎儿宫内复苏是处理胎儿窘迫的关键手段，但各类宫内复苏措施在适应证、实施时机及围产结局影响方面证据不一，部分疗效仍存争议。文章结合国内外指南与循证证据，系统梳理常用胎儿宫内复苏措施的机制与适用情境，并提出以纠正可逆因素为核心的阶梯式管理路径，以供临床参考。更多还原

【Abstract】 Intrauterine fetal resuscitation is an important intervention in the management of fetal distress. However,evidence on resuscitative measures remains inconsistent regarding the indications,implementation timing,and effects on perinatal outcomes,and some therapeutic effects are controversial. Based on current national and international guidelines and evidence-based evidence,the mechanisms and suitable settings of application of commonly used intrauterine resuscitation measures are systematically summarized,and a stepwise management approach focusing on the correction of reversible causes is proposed.更多还原