新生儿窒息148例的抢救与护理

目的探讨新生儿窒息的抢救护理配合，进一步提高产科急救护理质量。方法严密观察产程变化，作好窒息复苏的各种准备工作，新生儿娩出后置于预热辐射台上彻底清理呼吸道分泌物，吸净粘液和羊水后予触觉刺激使其迅速恢复呼吸，初步复苏后未能建立自主呼吸者立即采取面罩给氧、气管插管、胸外心脏按压等处理，促进呼吸建立。医务人员熟练掌握复苏技术，密切配合，严格无菌操作规程，及时准确执行用药医嘱，严密观察患儿病情变化，发现异常及时报告医生，共同为患儿提供更优质的服务。结果通过对148例窒息新生儿实施及时抢救，治疗护理取得较好的效果，患儿安全返回母婴同室区。结论新生儿窒息是新生儿死亡及致残的重要原因之一，产科医务人员要随时作好复苏准备，窒息新生儿娩出后迅速给予清理呼吸道、保温、通畅通气等处理，以确保新生儿尽快建立自主呼吸。

Salvage and Nursing of 148 Newborn with Asphyxia

Objective To explore the salvage combined with nursing in newborn asphyxia to further raise the first aid nursing quality of obstetrics. Methods To closely observe the changes in birth process and prepare all the works for asphyxia anabiosis well After expulsion the newborn was placed on pre-heat and raying stage and respiratory excretion completely cleaned. She received haptic stimulus to recover respiration rapidly after complete aspiration of pituita and amniotic fluid. Those without establishment of spontaneously breathing after primary anabiosis were immediately given mask oxygen inhalation, lifesaver and closed cardiac massage to promote the respiration. The medical staff should skilledly master the technique for anabiosis, be in close cooperation, strictly keep aseptic technique regulations, immediately and accurately give medication under supervision of a physician, closely observe the changes of state of disease, promptly report to the doctors on discovering abnormality and provide sick newborn with high-grade service in common. Results By performing the prompt salvage for 148 newborn with asphyxia, the treatment and nursing obtained good efficacy and the sick newborn safely returned to direct rooming-in. Conclusion The newborn asphyxia was one important cause of newborn death and disability, so the medical staff in obstetrics should prepare for anabiosis at any times and rapidly clean respiratory tract, incubate and keep unobstructed and venting so as to ensure the newborn establish spontaneously breathing as rapidly as possible.