The first chapter of fetal physiological basis of fetal physiology is the basis of fetal medicine, also is carries on fetal monitoring and fetal disease basis, to understand the basis of fetal physiology, etiology and pathology of perinatal asphyxia and brain injury, the prevention of asphyxia, reducing the perinatal morbidity and mortality and long-term morbidity has important significance. Development the development of cardiovascular system and blood physiological section of a fetus, fetal cardiovascular cardiovascular systems is the earliest human embryos, third embryos appeared in mid week, formed by the embryonic development. Human embryonic sixteenth days, first in the yolk sac of the extraembryonic mesoderm formation in many cells, called blood island. Blood island of the central part of the cells gradually became round, and differentiation into primitive blood cells, the hematopoietic stem cell; blood island surrounding cells to differentiate into flat endothelial cells, and the formation of a primitive vascular. Then, in the body stalk, chorionic mesoderm at the extraembryonic also occurred in the same way, with the formation of a primitive vascular, embryo development, these primitive vascular gradually extended, interact with each other, form the extraembryonic capillary network. Human embryo third weeks, many cracks appear in the embryo in vivo throughout the mesenchyme, cell differentiation into endothelial cells around the fracture, formation of a primitive vascular, these primitive vascular extension, mutual connection, form the embryo inside the capillary network. Human embryo at the end of the third week, extraembryonic and embryonic capillaries in the network through the body stalk each other, the formation of the early embryonic capillary network, the blood vessels in the blood cells are derived from the yolk sac blood islands. In the vascular network, after the merger between the vascular and expand, gradually formed a number of artery and vein. Embryo in vivo the earliest vessel: a pair of heart tube, a pair of connected to the pipe end of the abdominal aorta, a pair of dorsal aorta and connected with the lateral abdominal aorta and the dorsal aorta arterial arch.
The first chapter of fetal physiological basis of the first section fetal cardiovascular development and blood physiological second day fetal blood flow distribution and heart rate regulation third day fetal respiratory physiology of fourth day fetal brain fifth day fetal appendage and the function of the second chapter of fetal distress in etiology and pathophysiology of the first section fetal distress causes of second day fetal distress iatrogenic reasons third the third chapter of fetal distress physiological and pathological diagnosis of fetal distress first family self monitoring section second CTG third day of stimulation test fourth day fetal ECG fifth ultrasound examination of sixth day fetal scalp blood pH assay and blood gas analysis of seventh day fetal oxygen saturation were measured in eighth day amnioscopy ninth placenta biochemical indexes in section tenth intrapartum fetal distress in the fourth chapter of fetal distress diagnosis treatment and prognosis of chronic fetal distress. The first section of the second day war of fetal distress in third day fetal distress prognosis in fifth chapter obstetric anesthesia and analgesia on fetal and neonatal effects of caesarean section on fetal and neonatal effects of second obstetric analgesia on fetal and neonatal effects of third day gestational non surgery Surgery and fetal operation anesthesia effects on the fetus of sixth day fetal neonatal asphyxia transition and first day fetal neonatal asphyxia of newborn transition section second basic concepts of third neonatal asphyxia neonatal resuscitation pathology physiology chapter seventh first quarter second quarter recovery recovery the general concept of the initial steps of third positive pressure ventilation section fourth chest compressions the fifth section endotracheal intubation sixth drug recovery section seventh recovery of some special problems in the eighth chapter of neonatal asphyxia and the intervention section damage after neonatal asphyxia general monitoring and management section second asphyxia organ damage and intervention of third day @##@ asphyxia and cerebral palsy Perinatal asphyxia is one of the clinical problems, the most common pediatric, is also the important cause of perinatal death and injury of nerve. In recent years, although the basic research of asphyxia has made considerable progress, obstetric and neonatal clinical care and rescue techniques have been improved, the exact definition, diagnostic methods and standards but perinatal asphyxia asphyxia, and injury prevention and many other issues remain to be further research and discussion. How to use the best evidence for guidance, combined with the actual conditions at the local hospital, the correct evaluation of the fetal safety situation and take appropriate treatment of neonatal asphyxia obstetric, timely effective recovery and recovery management, in order to reduce the incidence and mortality of asphyxia in cattle, reduce neurological sequelae, improve the quality of the population, are all perinatal medical workers must pay attention to the problem. Therefore, we organized the Zhejiang University and University USA 西弗古尼亚 production, son, anesthesia, ultrasound department expert co written a book, to help readers better understand the new concepts and new theories in this field, to improve the diagnosis ability, but also initiate, hope more perinatal workers concerned perinatal asphyxia of the topic, to further increase awareness of the problem. The book is divided into eight chapters, covering the physiological basis of diagnosis and treatment of the fetus, fetal distress, cause, effect of obstetric anesthesia and analgesia on the fetus and neonate, transition fetal neonatal, theory and method of resuscitation of neonatal asphyxia, and the new bull asphyxia injury problems. The book not only has theoretical, more operational, obstetrics, pediatrics, can be used as the Department of Anesthesiology, maternal and child health care doctors and medical students reference book. In addition, in the book the eighth chapter introduces the international authority on perinatal asphyxia and children with cerebral palsy causality analysis point of view and the statement, for medical disputes and legal workers reference.
"The perinatal asphyxia" published by people's Medical Publishing house.
Medical Science @ 2017