Department of Pediatrics, University of Padua, Italy.
Early Hum Dev. 2009 Oct;85(10 Suppl):S63-5. doi: 10.1016/j.earlhumdev.2009.08.019. Epub 2009 Sep 23.
Congenital malformations are not so rare, and represent a relevant challenge to health care providers. We delineate a methodology for the clinical approach to the malformed newborn, that takes into account the needs of the patient as single person and as part of a familiar and social context. We consider first the medical problem that the neonatologists face in the nursery and neonatal intensive care unit regarding clinical assistance, diagnosis, parent counselling and hospital discharge. Then we focus on the periodic follow-up, and the role of the primary care physician and the specialist in the assistance of this patients.
先天性畸形并不罕见,对医疗保健提供者来说是一个重大的挑战。我们制定了一种临床方法,用于对畸形新生儿进行评估,该方法考虑了患者作为个体和其家庭及社会背景的需求。我们首先考虑新生儿科医生在新生儿重症监护病房中面临的临床援助、诊断、家长咨询和出院等医疗问题。然后,我们重点关注定期随访,以及初级保健医生和专科医生在为这些患者提供帮助时的作用。