Brousseau Tonia, Sharieff Ghazala Q
Wolfson Children's Hospital, 955 Yacht Harbor Court, Jacksonville, FL 32225, USA.
Pediatr Clin North Am. 2006 Feb;53(1):69-84, vi. doi: 10.1016/j.pcl.2005.09.011.
The evaluation and appropriate management of the critically ill neonate requires knowledge of the physiologic changes and life-threatening pathologies that may present during this time period. A broad systematic approach to evaluating the neonate is necessary to provide a comprehensive yet specific differential diagnosis for a presenting complaint or symptom. Efficient recognition and prompt management of illness in the neonatal period may be life saving. Recently, it has become more important for the emergency department physician to be familiar with the neonate because of early discharge policies. This review provides a systematic approach to the recognition, emergency stabilization, and management of the more common newborn emergencies.
对危重新生儿进行评估和适当管理,需要了解在此期间可能出现的生理变化和危及生命的病症。采用广泛的系统方法来评估新生儿,对于针对所出现的主诉或症状提供全面而具体的鉴别诊断是必要的。在新生儿期对疾病进行有效的识别和及时的管理可能会挽救生命。近来,由于早期出院政策,急诊科医生熟悉新生儿变得更加重要。本综述提供了一种系统方法,用于识别、紧急稳定病情以及管理更常见的新生儿急症。