DISEASES OF CHILDHOOD : THE NEWBORN ASPHYXIA (ASPHYXIA NEONATORUM) - etiology, pathogenesis, symptoms and course of, recognition, prediction and prevention
Oxygen deficiency: impaired excitability of the respiratory center, airway obstruction with mucus, premature respiratory movements of the fetus in the uterus, premature separation of the placenta, intracranial hemorrhage, compression of the umbilical cord, etc.
Symptoms. Mild (blue asphyxia): cyanosis of skin and mucous membranes, good muscle tone, distinct heart sounds; severe form (pale asphyxia); pale skin, cyanosis of mucous membranes, muscle tone dramatically decreased heart sounds are deaf, has been slow.
Subsequently, sometimes defects by psychomotor development.
Mortality of 20 to 30%. The weather is always very serious when pale asphyxia, much better in blue.
Remove from the mouth and upper respiratory tract (optional) aspirated mass. Try to excite the respiratory center Pat on the buttocks, spray with cold water, stretching for the language. If this has no effect, immediately begin artificial respiration by Sokolov (rhythmic flexion and extension of the head and legs with bent knees), Sylvester (raise hands above head and thrust to the chest), Marshal-Hello (slow turning of the child from back to tummy). Vibrating massage the heart. The inhalation of oxygen. Heart: caffeine, camphor. For excitation of the respiratory center - lobeline or tsititon subcutaneously. Inhalation of ammonia (to moisten a piece of cotton wool and bring it to my nose). Closely monitor lively child, do not forget about the possibility of relapse.