新生儿窒息的原因和复苏术的分析

目的 了解新生儿窒息的原因,探讨其抢救措施,掌握抢救的要点,总结抢救的经验.方法 搜集本院129例新生儿窒息的临床资料,分析造成新生儿窒息的原因,并提出最佳的复苏措施.结果 导致新生儿窒息的主要原因是胎儿宫内窘迫、脐带因素和羊水过少,其次是胎位和产程异常.本组129例患儿中,抢救成功率93.80%,其中治愈121例,致残3例,死亡5例.结论 新生儿窒息的发生与多种产科因素及分娩方式密切相关;加强围产期保健和产程监护,正确处理产程,提高助产和复苏技术,选择适当的分娩方式,是降低新生儿窒息率的有效措施.

An analysis of the causes and resuscitation of neonatal asphyxia

Objective To explore the causes and resuscitation of neonatal asphyxia to master the essentials of resuscitation, and to summarize the experience of resuscitation. Methods The clinical data on 129 cases of neonatal asphyxia were collected to analyze the causes of the disorder and establish the best resuscitation measures. Results The etiologies were mainly due to fetal distress, umbilical cord abnormalities and hypoamnion, followed by abnormal fetal positions and labor process. The success rate was 93.80% in all the neonates, 121 of whom were cured, 3 were disable, and 5 were dead. Conclusions Neonatal asphyxia is closely related with a variety of obstetric factors and delivery types. Enhancement of perinatal care and birth process monitoring, correct management of labor process, improvement of midwifery and resuscitation, and proper selection of delivery types are the effective measures to reduce the incidence of neonatal asphyxia.