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新生児管理 - jsog.umin.ac.jp

10% 5% 1000 ( ) 0 = (Arantius ) PG 0 (Neonatal Cardio-Pulmonary Resuscita6on ; NCPR) Consensus 2015 l l NCPR ILCOR Consensusu2015 NCPR 2015 Apgar score (sniffing position) SpO2 or (CPAP) / NCPR 2015 100

低出生体重児 約10% ちなみに早産児 約5% (人) (%) 出生数と低出生体重児割合の年次推移

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Transcription of 新生児管理 - jsog.umin.ac.jp

1 10% 5% 1000 ( ) 0 = (Arantius ) PG 0 (Neonatal Cardio-Pulmonary Resuscita6on ; NCPR) Consensus 2015 l l NCPR ILCOR Consensusu2015 NCPR 2015 Apgar score (sniffing position) SpO2 or (CPAP) / NCPR 2015 100 100 (CPAP)

2 100 SpO2 60% 3 70% 5 80% 10 90% (Hypoxic-Ischemic Encephalopathy; HIE) 36 HIE 6 33 35 A 0 0 1 5 5 8 24 97% 60% 12 24 92%,48 100 180 / 40 60 / 50 70 W M Small for dates Erb 0 SpO2 l l l l l l 28 l

3 Ductal shock (Botallo ) 2-3 4-5 RhD Rh(-) Rh(+) AB0 O A or B 6 HgA: 120 HgF: 80 - - Y- - - l SLE, ITP l l Toxoplasma Others ( ,HBV,HCV, , B19 ) Rubella Cytomegalovirus (CMV)

4 Herpes 1 16 20 38 22 CT B GBS 2 9 B GBS 10 20 ABPC 0 HIV HTLV-I HIV HTLV-I 6~13% 3~6%