Abstract: This paper interprets the AHA 2023 Neonatal Resuscitation Guidelines and analyzes the differences and complementarities between the American and European guidelines regarding the selection of resuscitation equipment，the operation of positive pressure ventilation，and umbilical cord management. The American guidelines provide more specific recommendations on the use of T-piece resuscitators and umbilical cord milking， while the European guidelines emphasize the broad applicability of delayed cord clamping and continuous positive airway pressure （CPAP）. Based on domestic clinical practice， this article proposes a tiered approach to resuscitation，aiming to optimize neonatal resuscitation and umbilical cord management.

Key words: neonates, preterm infants, respiratory distress syndrome, resuscitation, umbilical cord milking, guidelines

摘要： 文章解读了美国2023版新生儿复苏指南，并分析欧美相关指南在复苏设备选择、正压通气操作及脐带管理上的差异性和互补性。美国指南在 T 型复苏器和完整脐带挤压的应用上提供了更具体的建议，而欧洲指南更强调延迟脐带夹闭和持续气道正压通气的广泛适用性。文章结合国内实际情况，提出了分层实施复苏方案的建议，以优化新生儿复苏与脐带管理。

关键词: 新生儿, 早产儿, 呼吸窘迫综合征, 复苏, 完整脐带挤压, 指南