Neonatal Services, The Royal Women's Hospital, Melbourne, VIC, Australia; Newborn Research Centre, The Royal Women's Hospital, Melbourne, VIC, Australia; Department of Obstetrics and Gynaecology, The University of Melbourne, Melbourne, VIC, Australia.
Neonatal Services, The Royal Women's Hospital, Melbourne, VIC, Australia; Newborn Research Centre, The Royal Women's Hospital, Melbourne, VIC, Australia; Clinical Sciences, Murdoch Childrens Research Institute, Melbourne, VIC, Australia.
Lancet. 2017 Apr 22;389(10079):1639-1648. doi: 10.1016/S0140-6736(17)30547-0.
Effective resuscitation of the newborn infant has the potential to save many lives around the world and reduce disabilities in children who survive peripartum asphyxia. In this Series paper, we highlight some of the important advances in the understanding of how best to resuscitate newborn infants, which includes monitoring techniques to guide resuscitative efforts, increasing awareness of the adverse effects of hyperoxia, delayed umbilical cord clamping, the avoidance of routine endotracheal intubation for extremely preterm infants, and therapeutic hypothermia for hypoxic-ischaemic encephalopathy. Despite the challenges of performing high-quality clinical research in the delivery room, researchers continue to refine and advance our knowledge of effective resuscitation of newborn infants through scientific experiments and clinical trials.
有效的新生儿复苏有可能挽救全世界许多生命，并减少围产期窒息存活的儿童的残疾。在本系列论文中，我们强调了在理解如何最好地复苏新生儿方面的一些重要进展，包括监测技术以指导复苏努力、提高对高氧血症的不良影响、延迟脐带夹闭、避免对极早产儿常规进行气管内插管以及对缺氧缺血性脑病进行亚低温治疗的认识。尽管在分娩室进行高质量临床研究存在挑战，但研究人员通过科学实验和临床试验继续改进和推进我们对新生儿有效复苏的认识。
