Neonatal hypoxic ischemic encephalopathy in clinical observation and nursing care.doc

 PAGE \* MERGEFORMAT 6 Neonatal hypoxic ischemic encephalopathy in clinical observation and nursing care [Keywords:] perinatal asphyxia; neonatal brain injury; observation; Care Perinatal hypoxia 80% to 90% occurred in utero or intrapartum, particularly intrauterine chronic hypoxia often difficult to find Erzhi brain injury, 10% occurred in the postpartum, easy to understand and handle, but less chance of brain injury , as long as the place of fetal distress or neonatal asphyxia, perinatal hypoxia caused even some direct factors are eliminated or resuscitation, Apgar score back to normal, the newborn brain is still developing hypoxic-ischemic brain injury high risk. 1, the definition of perinatal asphyxia Where the cause maternal and fetal blood circulation and gas exchange between the barriers can make the fetus or newborn hypoxia, hypoxia occurs in pregnancy, said that fetal distress, occurred in the fetus or the newborn after birth asphyxia, said, fetal distress collectively referred to as perinatal asphyxia and neonatal asphyxia. 2 cause of perinatal asphyxia 2.1 prenatal factors of chronic diseases cause birth mother, chronic intrauterine hypoxia, such as: pregnancy induced hypertension. 2.2 The lack of intrapartum factors of productivity, great children. Clinical observation of 3 3.1 Observation of vital signs, fetal movement, fetal heart rate, neonatal breathing, pulse. 3.2 Awareness of natural events through the evaluation and response to external stimuli to determine, assess the state of consciousness of neonatal hypoxic ischemic encephalopathy evaluation of particular importance. 3.2.1 Obstacles mild sleepiness: neonatal easy to wake up, but only to keep short-term sober. Consciousness slow: You can wake up and wake up late and can not stay awake. 3.2.2 Neonatal severe disturbance of consciousness lethargy, painful stimuli only flinching response. 3.3 reactive excitation and inhibition in the two main reactions.