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明显死产新生儿的复苏:窥探中国的实践情况

The Resuscitation of Apparently Stillborn Neonates: A Peek Into the Practice in China.

作者信息

Chen Xueyu, Li Huitao, Song Jingyu, Sun Panpan, Lin Binchun, Zhao Jie, Yang Chuanzhong

机构信息

Department of Neonatology, Affiliated Shenzhen Maternal and Child Healthcare Hospital, Southern Medical University, Shenzhen, China.

出版信息

Front Pediatr. 2020 Jun 2;8:231. doi: 10.3389/fped.2020.00231. eCollection 2020.

Abstract

Apparently stillborn neonates are born in the terminal stage of secondary apnoea and respond poorly to basic resuscitation procedures proposed by the Neonatal Resuscitation Program (NRP). Increasing experimental and clinical evidence shows that stringently adhering to the NRP guidelines may delay sufficient ventilation and chest compressions and consequently prolong the duration of asystole in apparently stillborn neonates. To add to this information, we summarized our experience with the resuscitation of apparently stillborn neonates and reported the neonatal outcomes in a cohort of apparently stillborn neonates resuscitated at a tertiary care center in China.

摘要

外表看似死产的新生儿出生于继发性呼吸暂停的终末期,对新生儿复苏项目(NRP)提出的基本复苏程序反应不佳。越来越多的实验和临床证据表明,严格遵循NRP指南可能会延迟充分通气和胸外按压,从而延长外表看似死产新生儿的心搏停止持续时间。为补充这方面的信息,我们总结了外表看似死产新生儿的复苏经验,并报告了在中国一家三级护理中心复苏的一组外表看似死产新生儿的新生儿结局。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/aa7f/7280481/8f495349d048/fped-08-00231-g0001.jpg

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