Neonatal cerebral ischemia and hypoxia how to treat

summary

Neonatal brain hypoxia, mostly due to asphyxia in the perinatal period, leading to late neonatal brain hypoxia and ischemic damage. If neonatal hypoxia is not corrected in time, it is easy to lead to neonatal death and disability. The causes of neonatal cerebral hypoxia are as follows: maternal factors, fetal factors, placental abnormalities, delivery process factors, umbilical cord blood blocking factors, neonatal disease factors and so on. The degree of neonatal cerebral hypoxia can be divided into three degrees: mild, moderate and severe. According to the different degree, the effect of treatment is different, the recovery degree of prognosis is also different, so once the newborn brain hypoxia should do? Let's take a look at the following.

Neonatal cerebral ischemia and hypoxia how to treat

First: [Apgar score measurement] Apgar score is generally used to score newborns within one minute. The results were as follows: total score: 10 points: 8-10 points: no asphyxia; 4-7 points: mild asphyxia; 0-3 points: severe asphyxia. Under normal circumstances, newborns with 8 points or above are normal; newborns with 7 points or above are considered as mild hypoxia, which will not have much impact; newborns with 4-6 points are considered as moderate asphyxia, which can be recovered to normal level in a short time after treatment; newborns with less than 4 points are considered as severe hypoxia asphyxia, severe hypoxia, and respiratory depression, which will be rescued and resuscitated immediately by doctors, with slight complications There's a slight improvement, but this kind of newborn usually has a hard time surviving.

Second: parents need to keep a quiet indoor environment, do not move too much or hold the baby. Pay attention to keep warm, prevent dehydration heat; should not be too cold environment, prevent scleroderma. In winter, the indoor temperature should be kept at 18 ~ 22 ° as far as possible. If the home is not an air-conditioned room, warm water bags can also be placed around the baby's swaddling clothes, which should not be too hot. Pay attention to measure the baby's body temperature. The normal temperature range is 36 ~ 37 ° and the bath temperature is 40 ~ 60 ° to avoid overheating or supercooling. Pay attention to indoor humidity.

Third: because the baby's esophagus is relatively thick and straight, it is easy to backflow milk or nutrients from the mouth after feeding. Pay attention to the baby's position while feeding. The principle of feeding should pay special attention to, fine feeding, milk and water ratio to match well, commonly used ratio is: 1:1, 2:1, 3:1, etc. Do not feed too full at a time to prevent asphyxia, add 5% glucose appropriately, add some cod liver oil and calcium.

matters needing attention

This kind of baby needs to pay great attention to nursing, their anti-virus ability will be much weaker than the general baby, and it is easy to get some diseases, so in the baby's room, we should pay special attention to ventilation, reduce the number of indoor bacteria, don't let too many people walk in the baby's room, also can't let the baby contact too many people, don't take the baby to the crowd of public places . It's important to prevent infection.