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目的探讨气管插管术(IPPV)在新生儿重度窒息抢救中的作用。方法两院119例新生儿窒息并无呼吸或心跳骤停行气管插管术抢救临床观察,通过剖宫产组与阴道分娩组的对比,经统计学不等式处理,差异有统计学意义(P<0.05)。本组均采用IPPV手法即间歇正压通气给氧辅以给予抢救药物及心脏复苏等治疗手段,取得满意效果。结果本组对窒息新生儿采用IPPV抢救方法(即插管-吸引-呼吸囊)抢救成功115例,约96.6%。结论气管插管术(IPPV)在重度新生儿窒息抢救中是安全、可靠、易行、有效、确切的治疗技术。
Objective To investigate the role of intubation (IPPV) in the management of neonatal severe asphyxia. Methods A total of 119 neonates with asphyxia without respiratory or cardiac arrest during tracheal intubation were enrolled in this study. The comparison between cesarean section group and vaginal delivery group was statistically significant (P < 0.05). This group are using IPPV approach that intermittent positive pressure ventilation with oxygen to give rescue drugs and cardiac resuscitation and other treatment, and achieved satisfactory results. Results In this group, 115 cases were successfully treated with IPPV rescue method (intubation-suction-respiration balloon), accounting for about 96.6%. Conclusion Intratracheal intubation (IPPV) is a safe, reliable, easy, effective and effective treatment for severe neonatal asphyxia.