围产期护理技术培训课件_异常胎心监护解读.pptxVIP

异常胎心监护解读;;影响胎儿氧合的关键因素;胎儿氧代谢生理;有利于胎儿宫内低氧生存的原因;胎儿缺氧的宫内监测;胎儿缺氧的变化 低氧血症 Hypoxemia 组织缺氧Hypoxia 代谢性酸中毒Metabolic acidosis 组织损伤Tissue damage;Von Winkel’s 胎儿窘迫(criteria of fetal distress)标准 (1893) 心动过速 Tachycardia (FHR160bpm) 心动过缓 Bradycardia (FHR120bpm) 胎心不规律 Irregularity of FHR 羊水粪染 Passage of meconium in vertex presentation 胎动明显改变 Gross alteration of fetal movement ? Data from Freeman RK, Garite JJ. Fetal heart rate monitoring. 2nd ed . Philadelphia: Williams Wilkins;1991;胎儿窘迫;Edward H. Hon, MD;电子胎心外监护（External Electronic Fetal Heart Rate Monitoring）;EFM与妊娠结局;胎儿心率的控制与调节;慢性缺氧胎儿至胎儿窘迫的胎心监护变化趋势 首先是大脑皮