Neonatal hypoxic-ischemic encephalopathy (HIE) hyperbaric oxygen treatment and care experience.doc

 PAGE \* MERGEFORMAT 8 Neonatal hypoxic-ischemic encephalopathy (HIE) hyperbaric oxygen treatment and care experience [Keywords:] neonatal HIE; hyperbaric oxygen chamber; treatment and care Neonatal hypoxic-ischemic encephalopathy (HIE) is a result of hypoxia in the perinatal asphyxia, leading to hypoxic-ischemic brain damage, also contributed to early neonatal deaths and the main reason for mental retardation. Some 30 million newborns each year in China due to hypoxic-ischemic encephalopathy and maimed, not only seriously endangering the health of newborns, but also to society and the family of the larger spiritual and economic burden. In recent years, many scholars on the use of early detection in children with HIE, early treatment, early intervention and other measures to improve the cure rate and reduce the incidence of complications. Hospital neonatal high-pressure oxygen chamber to facilitate comprehensive treatment and care and 108 cases of children with HIE, and achieved good effect. Nursing is as follows: 1 Data and methods 1.1 Clinical data Male children in this group 68 cases, female 40 cases, 3 ~ 5 d of birth were 71 cases, 5 ~ 12 d in 37 cases, both full-term children. 1.2 severity classification Treatment of children with all do first head CT, mild to moderate in 61 cases, 36 cases of moderate and severe in 11 cases. 1.3 Treatment and care methods Children are the integrated treatment and brain treatment, including oxygen, the town still scared to correct low blood sugar and acid poisoning, the treatment of cerebral edema, the maintenance of energy supply, controlling fluid volume and the use of neurotrophic drugs (citicoline, Brain protein hydrolyzate, Jie Shen), etc.. Children in stable condition (no cramps, and vital signs were stable, no active bleeding, etc.) re-hyperbaric oxygen therapy. I Bureau are using the baby oxygen chamber (YLC0.5/1A type, China Shipbuilding Industry Corporation 701 manufacturing) to pure oxygen pressure ther