????? Perinatal asphyxia

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?????Perinatal asphyxia
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?? (Definition)

• ??(???)
• ?????????????,
• ??????(hypoxemia)????(acidemia),
• ??????????????????,
• ?????????????????

3
?? (Introduction)

• ???????35,?????60100????????,??????1520?(20)
  
• ???????????390?,??29?????

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?? (Etiology)

• ???????????????????????
• ????(????????)
• ????(??????,????????)
• ????(?????????)
• ????(????????)
• ????(????????)
• ????(?????????????)
• ????????????????

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???? (Pathophysiology)

• ????
• ???????(primary apnea)
• ??1????????????????, BP? ??????,????????
• ???????(secondary apnea)
• ??????????,HR?,BP???????????,?????????

6
(No Transcript)
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• ??????????????
• ??????????????????????????????
• ??????????
• ????????
• PaC02? pH?PaO2? ??????????????????????

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???? (Clinical manifestations)

• ???
• ??????(gt160?lt100?/?)
• ????????
• ???????

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???????(Apgar??)
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(No Transcript)
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?? (Diagnosis)

1. 03????,47?????,810???
2. ???????(pHlt7.0?7.2/BElt-15?-12mmol/L)
3. ????????(???????????????)
4. ?????(?????)

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?? (Treatment)

• ??????????
• ????????????????
• ??????????????
• ????????????????
• Apgar???????????????
• ??ABCDE??

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• Airway (30?)?????????--??
• Breathing (30?)????,????--??
• Circulation(30?)??????,?????????
• Drug(30?)????
• Evaluation ??

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???????.doc
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???30?????????????????
??????? ????
???30? ???30? ???30?
??
??
??
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• ??????

??-??????
?????????
??????
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?????

• ???????
• ??????HIE?ICH?PVL
• ????????????????????PFC
• ????????????(MAS)?RDS?????
• ???????????????
• ?????????NEC
• ??????????????????