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新生儿出生窒息后胸部及心脏的横径

Transverse diameter of chest and heart after birth asphyxia in the newborn infant.

作者信息

Weisenbach J, Schultz K, Schmelzer M

出版信息

Acta Paediatr Acad Sci Hung. 1978;19(4):357-65.

PMID:157667
Abstract

The transverse diameter of the chest and heart was measured in 745 newborn infants after birth asphyxia. Both diameters showed a good correlation with birth weight. The great individual variations of the measurements were due to different degrees of birth asphyxia observed in the infants and to their different responses to compensate asphyxia. A wet lung and an increased transverse diameter of the chest (above the 90th percentile) indicate a good, and a decreased transverse diameter of the chest (bellow the 10th percentile) indicate a bad prognosis for survival. The cardiomegaly usually disappears after the first 12 hours of life, but in some cases it persists for more than 5 days, depending on the severity of birth asphyxia.

摘要

对745例出生时窒息的新生儿测量了胸部和心脏的横径。这两个直径均与出生体重有良好的相关性。测量值的个体差异很大,这是由于观察到婴儿出生时窒息程度不同以及他们对窒息代偿的反应不同所致。湿肺和胸部横径增加(高于第90百分位数)提示预后良好,而胸部横径减小(低于第10百分位数)提示生存预后不良。心脏扩大通常在出生后12小时内消失,但在某些情况下,根据出生时窒息的严重程度,心脏扩大可持续超过5天。

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