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???(Newborn )

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Title: Newborn Author: Jason Last modified by: Qian Jihong Created Date: 7/26/2000 1:25:01 PM Document presentation format: – PowerPoint PPT presentation

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Title: ???(Newborn )


1
???????
  • Asphyxia of The Newborns at birth

2
? ?
  • ???????????6-10
  • MODS???70-90
  • ??? ???????????1/3
  • ??????????????????
  • ??????

3
  • ?????
  • ???????
  • ??????
  • ?
  • O2 ?CO2????
  • ?
  • ????
  • ?
  • ????

4
???????-??
????
  • ?????
  • ?????
  • ??????
  • ???????

5
????
  • ????
  • ????????
  • ?????

6
????
  • ?????????????
  • ????
  • ????
  • ??????

7
???????-????
  • ????
  • ???????
    ???????


  • ????? PCO2 ?????
  • ?O2?????? ??????
    ??? ???

  • ?????? ????
  • ???? ?? ??? ????
    ????
  • ????

HR? ? ??
HR?
???O2 ???
  • ?????

8
???????-????
????????
??
??
??
9
  • Apgar??
  • ???????????????????
  • ??????,??2?,??10?
  • ??
  • ?? ??1??
  • ?? ??5??
  • ?? ??10??
  • ??gt7?, ????20??
  • ????????????

10
Apgar??
?? 0 1 2 ???? ?????
???,???? ??? ?? ? lt 100
gt100 ??? ??? ???????
?,?? ??? ?? ????? ???? ??
? ?,??? ??,???
11
???????
???? 4 7 ? ???? 0 3 ?
12
???????
???????????? ????MAS?PPHN?RDS? ???????? ??
HIE????? ???????????
13
?Apgar???????
???????? ?????????? ?????????? ???
??????? ????? ???????
14
???????-??
  • ???? resuscitation
  • ????,????????
  • ABCDE????
  • A(airway) ?????
  • B(breathing) ????
  • C(circulation) ????
  • D(drugs) ????
  • E(evaluation and environment) ?????

15
???????????
???????
?????? ??????? ????? ????? ???
???? ?? ???? ??

?
?
16
?
  • ??
  • ????,????(prn)
  • ??,??,????
  • ??(prn)

A
30?
????
????,HR,??
????
HRgt100,????
????
?HR lt 100
????
B
????????
????
HRgt100,????
HR lt 60
HR gt 60
????????,????
C
HR lt 60
D
??????
17
2002???????????
  • 110 000????0.1-0.3ml/kg
  • (??0.01 mg/kg????0.1 mg/kg)
  • ?? (???????????????)
  • ?????????????????????
  • SB (????)
  • ???????????,?????????
  • ???-??????
  • ???
  • ??????

????
18
???????????
????
?? ?? ????????
????????????
19
????????
20
????????????
21
???? ????
22
????
??????O2
23
??????
??? ???
24
??????
25
???????
T????HR?BP??????? ????????????????
??
26
??????
  • ???????????(PHlt7.00)
  • Apgar??03???5????
  • ????????????
  • ????(3???)???????

27
??????????
  • ????
  • ????????
  • ????????
  • ????????????????

28
??
  • ????????
  • Apgar ??????????
  • ?????????
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