Radboud University Nijmegen Medical Centre, Department of Neonatology, Nijmegen, The Netherlands.
Early Hum Dev. 2010 Mar;86(3):137-41. doi: 10.1016/j.earlhumdev.2010.01.031. Epub 2010 Feb 20.
Circulatory failure is a major cause of mortality and morbidity in critically ill newborn infants. Since objective measurement of systemic blood flow remains very challenging, neonatal hemodynamics is usually assessed by the interpretation of various clinical and biochemical parameters. An overview is given about the predictive value of the most used indicators of circulatory failure, which are blood pressure, heart rate, urine output, capillary refill time, serum lactate concentration, central-peripheral temperature difference, pH, standard base excess, central venous oxygen saturation and colour.
循环衰竭是危重新生儿病死率和发病率的主要原因。由于对全身血流的客观测量仍然极具挑战性，新生儿血流动力学通常通过解释各种临床和生化参数来评估。本文概述了最常用于评估循环衰竭的指标（血压、心率、尿量、毛细血管再充盈时间、血清乳酸浓度、中心-外周温差、pH 值、标准碱剩余、中心静脉血氧饱和度和肤色）的预测价值。
