英-新生儿窒息与新法复苏5精品.pptVIP

* * * * * * * * * * ⑶ if the heart rate can’t increase or ＜ 80 pem. Should carry out pressing heart from out-chest for 30 seconds, if no respond, should give 1：10000 adrenalin 0.1-0.3ml／kg by the way of vein and trachea. ⑷ if the heart still ＜100 pem, could give the medicine to correct acidosis and expanse fluid. ⑸ if the mother was given narcotic 6 hrs before birth, could gave the baby naloxone 0.1mg／kg by the way of vein and trachea. 3. resuscitation technique ⑴ resuscitator supply pressurizing oxygen ventilating rate 30-40 rimes, press : relax is 1：1.5, if last for 2 mins, should insert a gastric tube, ⑵ pressing heart out chest the lower l/3 of the breast bone, 120 pem, every pressing 3 times, should supply pressurize oxygen once. Press about l一2 cm dept, the finger shouldn’t left the pressing location； 双拇指并排或重叠于患儿 胸骨体下 1/3处，其他手指 绕胸廓托在背后 The way of thumbs 右手中、食指指端垂直压胸 骨下 1/3处，左手托患儿背部 The way of double fingers ⑶ oral trachea cannula intubation and susction once should be finished within 20 seconds if the baby has one of the follows ① meconium ropiness or there is granules of meconium hypolarynx ② the baby suffer from severe asphyxia and need artificial ventilating for a long time; ③ the result is poor using resuscitaing; ④ the baby heart rate is 80-100 pem and doesn’t increase to follows； ⑤ suspect diagnosis of diaphragmatic hernia. anatomic landmark for put in laryngoscope tracheal intubation 4. medicine assisting resuscitation ⑴ alkali therapy ⑵ adrenalin therapy ⑶ vasoactive agent therapy dopamine 3-5ug/kg.min ⑷ Heparine therapy 20-30u/kg.d, H, tid　 ⑸ naloxone anti-morphinum and inhibition of HIE. 5．Observe and monitor post resu