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[产前因素对新生儿胶体渗透压状态的影响]

[Effects of prenatal factors on the colloid-osmotic status of the newborn].

作者信息

Serov V N, Markin S A, Kavteladze L R, Tomakian R G, Saliam S A, Sinauridze Z V

出版信息

Akush Ginekol (Mosk). 1991 Sep(9):41-3.

PMID:1746699
Abstract

Studies of prenatal factor effects on the newborns' colloid-osmotic status, a pressing problem in present-day obstetrics, were carried out in 2 groups of women: Group 1 consisted of 50 women with spontaneous delivery and Group 2, also consisting of 50 women, who delivered via cesarean section, 25 of them because of a cicatrix on the uterus and the rest because of severe gestoses characterized by nephropathy and Stage III pre-eclampsia. Blood samples were collected directly after delivery from the mother's vein and from the newborn's umbilical vein, and the colloid-osmotic status of the plasma was analyzed. The results permitted singling out a number of prenatal factors influencing the newborns' colloid-osmotic status. These factors are as follows: obstetrical abnormalities, gestosis among other things; intensive care of the mother during delivery or after surgery, administration of diuretics, delivery mode, etc. These results have brought the authors to a conclusion that standardized infusion therapy without due consideration for the colloid-osmotic status is inadmissible, for it may result in iatrogenic complications in the newborns.

摘要

对新生儿胶体渗透压状态的产前因素影响进行研究,这是当今产科学中的一个紧迫问题,研究对象为两组女性:第一组由50名自然分娩的女性组成,第二组也由50名女性组成,她们通过剖宫产分娩,其中25人因子宫瘢痕,其余因以肾病和重度子痫前期为特征的严重妊娠中毒症。在分娩后立即从母亲静脉和新生儿脐静脉采集血样,并分析血浆的胶体渗透压状态。结果确定了一些影响新生儿胶体渗透压状态的产前因素。这些因素如下:产科异常,包括妊娠中毒症;分娩期间或手术后对母亲的重症监护、利尿剂的使用、分娩方式等。这些结果使作者得出结论,在未适当考虑胶体渗透压状态的情况下进行标准化输液治疗是不可接受的,因为这可能导致新生儿出现医源性并发症。

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