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新生儿重症监护治疗(作者译)

[Intensive care therapy of newborn infants (author's transl)].

作者信息

Pollauf F, Rosenkranz A

出版信息

Wien Klin Wochenschr. 1975 May 2;87(9):289-93.

PMID:1094746
Abstract

Intensive care of newborn babies consists of immediate resuscitation during the very first minutes after birth, intensive management during the transportation and treatment at the intensive care unit. The importance of immediate resuscitation for the following therapeutic management is stressed. The modern system of correct and well-organized transport for newborn babies is also described. As to the diagnostic and therapeutic management in the intensive care unit, attention is called to the fact that it does not consist only of artificial respiration; in particular, temperature, blood glucose concentration, blood gas analysis and all vital functions must be constantly controlled. The importance of exact dosage of the administered oxygen during the intensive care of newborn babies is demonstrated. The indications, practical management and complications of artificial respiration are detailed. Finally, the good results which can be achieved in this field, with a significant reduction in mortality of artificially-respirated infants, are shown by the present investigation. Good organization, modern technical equipment and, especially, well-trained staff are indispensable foundations for the successful management of newborn infants requiring intensive care.

摘要

新生儿重症监护包括出生后最初几分钟内的即刻复苏、转运过程中的强化管理以及在重症监护病房的治疗。强调了即刻复苏对后续治疗管理的重要性。还描述了现代正确且组织良好的新生儿转运系统。至于重症监护病房的诊断和治疗管理,需注意其不仅包括人工呼吸;特别是,体温、血糖浓度、血气分析以及所有生命功能都必须持续监测。证明了在新生儿重症监护期间精确给氧剂量的重要性。详细阐述了人工呼吸的适应症、实际操作及并发症。最后,本研究表明,在该领域可取得良好效果,人工呼吸婴儿的死亡率显著降低。良好的组织、现代技术设备,尤其是训练有素的工作人员,是成功管理需要重症监护的新生儿的不可或缺的基础。

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