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新生儿复苏史。英勇与绝望的故事。

History of neonatal resuscitation. Tales of heroism and desperation.

作者信息

Raju T N

机构信息

Department of Pediatrics, University of Illinois at Chicago, USA.

出版信息

Clin Perinatol. 1999 Sep;26(3):629-40, vi-vii.

Abstract

Although the history of neonatal resuscitation is as old as medicine itself, today's standards of practice evolved over the past 40 years. Most ancient physicians and midwives did know that stimulation and expansion of lungs was needed to revive the "apparently dead" newborn, but the means of providing these 'therapies' varied from brutal shaking, hitting, swinging, electrocuting, hanging upside-down to applying gentle pressures or squeezing of the chest. It would take centuries of development in physiological concepts and technology for the evolution of a rational approach in resuscitating the newborn infant. Even after great advances in medical science in the 19th century, cardiopulmonary resuscitation techniques remained primitive until the mid-1950s. In this article the author has traced some elements of cardiopulmonary resuscitation techniques and developed an outline of the history of neonatal resuscitation.

摘要

尽管新生儿复苏的历史与医学本身一样古老,但如今的实践标准是在过去40年中逐渐发展起来的。大多数古代医生和助产士都知道,需要刺激和扩张肺部来救活“看似死亡”的新生儿,但提供这些“疗法”的方式多种多样,从粗暴摇晃、击打、摆动、电击、倒挂到轻柔按压或挤压胸部。要形成合理的新生儿复苏方法,还需要生理概念和技术经过几个世纪的发展。即使在19世纪医学取得巨大进步之后,直到20世纪50年代中期,心肺复苏技术仍很原始。在本文中,作者追溯了心肺复苏技术的一些要素,并勾勒出了新生儿复苏的历史轮廓。

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