Price-Douglas Webra, Diehl-Svrjcek Beth
Maryland Regional Neonatal Transport Program, The Johns Hopkins Hospital, Baltimore MD 21287, USA.
Adv Neonatal Care. 2007 Dec;7(6):289-94. doi: 10.1097/01.ANC.0000304967.46708.ea.
There are skin rashes, lesions, and disorders in the neonatal period that require emergent assessment and consultation. A neonate presented with epidermolysis bullosa and provided an opportunity for learning about this condition and various dermatologic resources, primarily DermAtlas. The neonate with suspected epidermolysis bullosa that is delivered in a community setting usually requires transport to a neonatal intensive care unit with pediatric subspecialty care. A case study involving the transport of a neonate with this condition is reviewed, followed by a discussion of the etiology, incidence, pathogenesis, diagnosis, and nursing care before and during transport and parental considerations. The resources available in the neonatal community, primarily DermAtlas, for the identification of epidermolysis bullosa and other dermatological conditions is explored.
新生儿期存在需要紧急评估和会诊的皮疹、皮损及病症。一名患有大疱性表皮松解症的新生儿为了解这种病症及各种皮肤科资源(主要是《皮肤病图谱》)提供了契机。在社区环境中分娩的疑似大疱性表皮松解症新生儿通常需要转运至具备儿科亚专业护理的新生儿重症监护病房。本文回顾了一例涉及此类病症新生儿转运的案例研究,随后讨论了病因、发病率、发病机制、诊断、转运前后的护理以及家长的注意事项。还探讨了新生儿社区中用于识别大疱性表皮松解症和其他皮肤病的可用资源,主要是《皮肤病图谱》。