新生儿窒息(英文).ppt
《新生儿窒息(英文).ppt》由会员分享,可在线阅读,更多相关《新生儿窒息(英文).ppt(18页珍藏版)》请在三一文库上搜索。
1、新生儿窒息 Asphyxia of the Newborn,Dr. Xiaoping Luo Professor and Chairman Department of Pediatrics Tongji Hospital Tongji Medical College,The highest mortality that befalls the human race in one day occurs on the day of birth. . It is said that the most important period of the life of a human being is t
2、he time spent in utero. The most trying ordeal a human being sustains is the ordeal of birth.,Asphyxia Neonatorum: Causation and Treatment,Professor of Obstetrics, Northwestern University Medical School,Jos. B. De Lee,Published in Medicine (Detroit) 3:643-660, 1897.,Definition of Perinatal Asphyxia,
3、a condition in the neonate where there is the following combination: An event or condition during the perinatal period that is likely to severely reduce oxygen delivery and lead to acidosis; AND A failure of function of at least two organs consistent with the effects of acute asphyxia.,Hypoxemia, Hy
4、percapnia, Mixed acidosis, Organic failure,Risk Factors-Maternal,Systemic disease: diabetes, heart or renal diseases, anemia, infectious diseases Obstetric Conditions: hypertensive disease of pregnancy or pre-eclampsia, placental abruption Substance abuse: drug addiction, smoking Maternal age: 35, o
5、r 16, multiple pregnancy,Risk Factors-Fetal,Premature, SGA, macrosomia Congenital malformation: nose and laryngo- pharynx malformation, lung hypoplasia, heart disease Amniotic fluid or meconium aspiration Intrauterine infection: Torch syndrome,Risk Factors-Intrapartum,Umbilical cord: obstruction Obs
6、tetric procedures: forceps delivery, breech extraction, vacuum extraction Medication: analgesic and oxytocic medicine,Pathophysiology of Asphysia,Respiratory Alteration: primary hyperpnea, primary apnea, secondary apnea Hypoxic-ischemic Changes of Multi-organic system: “diving reflex”, inter-organ s
7、hunting, organ failure Biochemical and metabolic Consequences: acidosis, hyper- or hypoglycemia, hypocalcemia, hyperbilirubinemia, hyperkalemia, hyponatremia,Clinical Manifestation of Asphysia,Apgar Scoring System,Apgar Scoring System,A,P,G,A,R,The Significance of Apgar Score,Apgar 810, normal; 47,
- 配套讲稿:
如PPT文件的首页显示word图标,表示该PPT已包含配套word讲稿。双击word图标可打开word文档。
- 特殊限制:
部分文档作品中含有的国旗、国徽等图片,仅作为作品整体效果示例展示,禁止商用。设计者仅对作品中独创性部分享有著作权。
- 关 键 词:
- 新生儿 窒息 英文
链接地址:https://www.31doc.com/p-2799916.html