摘要
2011年我国发布了最新的“新生儿复苏指南”，不再习惯性称为“新生儿窒息复苏指南”，这种形式上的同国际接轨却蕴含着深刻的本质意义，将带来新生儿复苏的新思维、新行为，应从3个方面加以认识。一是当前国际上“新生儿窒息”的诊断十分严格，表明窒息是复苏后事件而非复苏前事件，复苏失败才有窒息，故不宜称窒息复苏；二是新生儿复苏流程图上显示从一出生到复苏完毕从来都不提窒息与否；三是如长期受“窒息复苏”错误概念桎梏，复苏行为则往往显得十分被动和应付，虽复苏方案与国外相同，但结果却一直不同。故转变观念，首先复苏，才有利于新生儿窒息病死率降至本可达到的国际水准。
The new ＂neonatal resuscitation guidelines＂ was published in 2011 in China, which said no more ＂neonatal asphyxia resuscitation guidelines＂ as used, and showed a correct statement as the same as international that, also contained a deep essence meaning which would bring about some new thought and new behavior on neonatal resuscitation. There are three aspects should be realized： （ 1 ） the diagnosis of neonatal asphyxia is extremely strict abroad now, which demonstrates that asphyxia is a after-resuscitation event instead of before-resuscitation one, and only failure of resuscitation will cause a asphyxia. Therefore, it is no suitable to say ＂asphyxia resuscitation＂ ; （ 2 ） in neonatal resuscitation algorithm, it never mentions asphyxia or not from birth to resuscitation finished; （3） under thinking shackle of the mistake concept ＂asphyxia resuscita- tion＂, resuscitation behavior usually becomes more passive and inactive, and though the guidelines are the same, the resuscitation results are different between our country and abroad. So, changing conception, and resuscitation first, will be beneficial to decreasing neonatal asphyxia mortality to international level at which we might have arrived originally.
出处
《中国小儿急救医学》
CAS
2012年第2期192-195,共4页
Chinese Pediatric Emergency Medicine
关键词
复苏
窒息
婴儿
新生
Resuscitation
Asphyxia
Infant, newborn
