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本文总结了我院1990年1月～1993年7月由7176例活产新生儿中发现的重度窒息儿110例。并以新生儿监护室成立前后分两组进行观察对比,结果观察组(监护宝成立后)发现重度窒息37例,无合并症25例,有合并症11例,死亡1例,发病率为32.4％。对照组重度窒息73例,其中无合并症者23例,有合并症者46例,死亡4例,发病率为69％。经统计学处理,两组对比有显著性差异(P<0.01)。我院从1992年8月成立新生儿监护室后,重视对重度窒息并发症的预防.复苏要以ABC三步为准,即稳准快清理呼吸道,1min<3分者给予气管插管,吸净口咽喉鼻分泌物后,加压人工给氧,尽量在短时间内建立自主呼吸,使5min评分>6分。入监护室后小流量鼻导管吸氧,缺氧严重者面罩吸氧或正压吸氧,因此缺氧性脑病、颅内出血明显减少。羊水Ⅲ°粪染易合并MAS,
This article summarizes our hospital from January 1990 to July 1993 by 7176 live births found in children with severe asphyxia in 110 cases. Observation and comparison were made between the two groups before and after the establishment of neonatal care unit. Results In the observation group (after the establishment of Jianbao), 37 cases of severe asphyxia were found, 25 cases had no complications, 11 cases had complications and 1 died, the incidence was 32.4 %. Control group, severe asphyxia in 73 cases, of which 23 cases without complications, 46 cases of complications, 4 patients died, the incidence was 69%. Statistically, there was significant difference between the two groups (P <0.01). Our hospital from August 1992 set up a neonatal intensive care unit, emphasis on the prevention of complications of severe asphyxia. Resuscitation to ABC three-step shall prevail, that is, stable and fast cleaning of the respiratory tract, 1min <3 points were given intubation, suction Net mouth throat and nasal secretions, pressurized artificial oxygen, as far as possible in a short period of time to establish spontaneous breathing, 5min score> 6 points. Into the care room after a small flow of nasal oxygen catheter, severe oxygen mask oxygen or positive oxygen, so hypoxic encephalopathy, intracranial hemorrhage was significantly reduced. Amniotic fluid Ⅲ ° stool easily merge MAS,