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[早产儿及新生儿的产后护理]

[Postpartum care of premature and newborn infants].

作者信息

Knoop U, von Loewenich V, Rintelen G, Ewerbeck H, Sternschulte W

出版信息

Geburtshilfe Frauenheilkd. 1984 Mar;44(3):192-7. doi: 10.1055/s-2008-1036878.

Abstract

The most important task of the physician in the delivery room is the initial and continued assessment of the premature or mature newborn. The sequence of resuscitative efforts is determined by the respiratory and circulatory changes in the baby. The procedure is summarised in an action flow sheet. If spontaneous respiration is inadequate, artificial ventilation should be begun; if the heart rate remains below 80/min cardiac massage should be instituted. There are special indications for the intubation of the trachea and the tracheal suction. In some cases catecholamines and infusions are required. One must be certain that the necessary equipment is available and properly prepared.

摘要

医生在产房的最重要任务是对早产或足月新生儿进行初始及持续评估。复苏措施的顺序取决于婴儿的呼吸和循环变化。该程序总结在一份操作流程表中。如果自主呼吸不足,应开始人工通气;如果心率持续低于80次/分钟,应进行心脏按摩。气管插管和气管抽吸有特殊指征。在某些情况下需要使用儿茶酚胺和输液。必须确保所需设备可用且准备妥当。

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