Long Melissa, Brandon Debra H
Intensive Care Nursery, Duke University Health System, Durham, NC 27710, USA.
J Obstet Gynecol Neonatal Nurs. 2007 May-Jun;36(3):293-8. doi: 10.1111/j.1552-6909.2007.00150.x.
Hypoxic-ischemic encephalopathy causes significant morbidity and mortality in neonates. Preventing the secondary reperfusion injury that occurs following a hypoxic-ischemic event is paramount to ensuring the best possible neurologic outcome for the neonate. Induced hypothermia is currently being studied in various institutions as a means of neuroprotection for neonates at risk of severe brain injury following a hypoxic-ischemic event. This article highlights the pathophysiology of hypoxic-ischemic encephalopathy and the rationale behind the effectiveness of induced hypothermia. Nursing care and management of neonates being treated with induced hypothermia are discussed.
缺氧缺血性脑病在新生儿中会导致严重的发病率和死亡率。预防缺氧缺血事件后发生的继发性再灌注损伤对于确保新生儿获得最佳神经学转归至关重要。目前,各机构正在研究诱导性低温作为对缺氧缺血事件后有严重脑损伤风险的新生儿进行神经保护的一种方法。本文重点介绍了缺氧缺血性脑病的病理生理学以及诱导性低温有效性背后的基本原理。还讨论了接受诱导性低温治疗的新生儿的护理和管理。