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中华产科急救电子杂志 ›› 2017, Vol. 06 ›› Issue (01) : 19 -23. doi: 10.3877/cma.j.issn.2095-3259.2017.01.005

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产时胎心监护与宫内复苏
李俊男1   
  1. 1. 400016 重庆医科大学附属第一医院妇产科
  • 收稿日期:2016-12-05 出版日期:2017-02-18

Electronic fetal monitoring during labor and intrauterine resuscitation

Junnan Li1   

  • Received:2016-12-05 Published:2017-02-18
引用本文:

李俊男. 产时胎心监护与宫内复苏[J]. 中华产科急救电子杂志, 2017, 06(01): 19-23.

Junnan Li. Electronic fetal monitoring during labor and intrauterine resuscitation[J]. Chinese Journal of Obstetric Emergency(Electronic Edition), 2017, 06(01): 19-23.

分娩过程中电子胎心监护(electronic fetal monitoring, EFM)的胎心率(fetal heart rate, FHR)图形是胎儿心脏和中枢神经系统对血容量变化、酸中毒和低氧血症反应的间接标志。几乎所有产科协会均建议在分娩过程中监测FHR。识别FHR的变化发现低氧血症和胎儿酸中毒,及时进行宫内复苏,避免产时发生胎儿死亡或减少远期神经系统损伤。

Electronic fetal monitoring (EFM) during labor is that FHR patterns are indirect markers of the fetal cardiac and central nervous system response to blood volume changes, acidemia, and hypoxemia, since the brain modulates heart rate. Virtually all obstetric societies advise monitoring the FHR during labor. The function of intrapartum FHR monitoring is that identification of FHR changes potentially associated with inadequate fetal oxygenation may enable timely intrauterine resuscitation to avoid intrapartum death or reduction in long-term neurologic impairment.

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