Can hypoxic ischemic encephalopathy be cured when a newborn is found 7 days after birth?

The likelihood of complete cure is low.

Like ischemic-hypoxic encephalopathy, it is generally difficult to completely reverse. A complete recovery is also likely to be small. Although there is some room for recovery in children, the possibility of complete recovery is low, and it takes a long time to learn.

Once perinatal asphyxia occurs, neonates are at high risk of hypoxic-ischemic encephalopathy. The health care provider needs to immediately perform a physical examination and** on the child. The purpose of neonatal hypoxic-ischemic encephalopathy** is to improve the metabolic function of damaged neurons as much as possible and maintain a stable internal environment; At the same time, it should be used to control convulsions, reduce cerebral edema, improve cerebral blood flow and brain cell metabolism.

1. General**:

1) Correction of hypotension: ensure adequate cerebral blood perfusion, commonly used dopamine 5-10 g kg per minute, intravenous infusion.

2) Correction of metabolic acidosis: sodium bicarbonate 2-3 meg kg 10% glucose diluted and slowly intravenous.

3) Correction of hypoxemia and hypercapnia: use an artificial respirator if necessary.

4) When the blood calcium is low, intravenous calcium gluconate can be used.

5) Provide sufficient glucose to meet the energy metabolism needs of brain tissue: 6-8mg kg per minute can be given.

6) Appropriately limit the amount of liquid: 50-60ml kg per day. The infusion rate is within 4ml kg h.

2. Control convulsions

Phenobarbital sodium is preferred, with the first dose of 15 to 20 mg kg, and if the convulsion is not resolved, it can be added 1 to 2 times at 5 mg kg each time, with an interval of 5 to 10 minutes, and the total load weight is 25 to 30 mg kg. The maintenance dose is 4-5 mg kg daily (once or in two divided doses) starting on day 2. It is best to monitor blood levels and discontinue the drug one week after the seizures have stopped.

If seizures are frequent, diazepam or chloral hydrate can be added.

3. Control increased intracranial pressure

Dexamethasone was used, furosemide 1 mg kg intravenously, and repeated after 4 to 6 hours. If the intracranial pressure is still high after 2-3 consecutive doses, switch to mannitol intravenously for 4-6 hours. Aim for a significant drop in intracranial pressure within 48 to 72 hours.

4. Central nervous system stimulants, etc

Cytochrome C, uraside triphosphate, coenzyme A, etc., can be intravenously instilled daily until the symptoms are significantly improved; Citicoline 100-125 mg per day can also be used, diluted and intravenous, and once a day intravenously starting on the second day after birth; 5ml of cerebrophyllin diluted with normal saline and intravenous drip can improve brain tissue metabolism.

**Must continue until symptoms completely disappear. Moderate HIE should be **10 to 14 days, and severe HIE should be **14 to 21 days or longer. **The sooner you start, the better, generally within 24 hours of birth**.

Try to avoid aggravating brain injury by various pathological factors after birth.

The birth of a newborn is a very joyful thing for a family, although now during pregnancy, through various examinations can be found in time to find fetal defects, but there are still some congenital diseases that cannot be detected, and some children unfortunately suffer from certain diseases after birth, which will have a serious impact on a family.

How is hypoxic-ischemic encephalopathy caused in newborn babies?

1. Hypoxic-ischemic encephalopathy is a common neonatal disease, which is caused by lung infections after birth, and may also be caused by respiratory distress syndrome, bradycardia, recurrent apnea, severe heart failure shock and polycythemia.

2. Neonatal ischemic encephalopathy may also be caused by perinatal asphyxia, which will seriously affect the life and physical and mental health of newborns, so it is necessary to do a good job of various examinations during pregnancy to prevent neonatal hypoxic-ischemic encephalopathy.

3. There is no specific drug for neonatal hypoxic-ischemic encephalopathy**, in order to avoid hypoxic-ischemic encephalopathy after birth, the fetal heart rate must be closely monitored in the process of delivery, and intrauterine distress must be detected in time.

Fourth, most newborns after birth hypoxic-ischemic encephalopathy is caused by hypoxia in the uterus, and the baby is hypoxic caused by a long labor process after birth.

Newborn hypoxic-ischemic encephalopathy, which seriously affects the baby's health, must be actively given, and do a good job in the child's care, find out under the guidance of the doctor, actively cooperate with the doctor, prevent the newborn from forming more serious sequelae, pregnancy must be regular prenatal examination, do not abuse drugs, to diversify the diet, to ensure that the fetus gets nutritional supplements.

This is due to the compression of the brain when the baby comes out of the mother's body, so a transient lack of oxygen is formed, which eventually leads to such a disease.

Generally speaking, it is because of the mother's malnutrition and the mother's amniotic water breakdown, so it is necessary to protect the safety of the newborn baby.