Conway-Orgel Margaret
Medical University of South Carolina, Goose Creek, SC 29445, USA.
Adv Neonatal Care. 2010 Oct;10(5):241-5; quiz 246-7. doi: 10.1097/ANC.0b013e3181f0891c.
Primum non nocere, a saying in Latin that means "first, do no harm," is a phrase neonatal clinicians should keep in mind when initiating or suggesting treatment. In the "golden hour" of resuscitation of the very low-birth-weight infant, team members assess multiple parameters of the infant's vital signs, with a key one being that of the cardiovascular status, specifically blood pressure. Attempts to treat a number rather than after assessment and develop a sound plan of care based on findings, will affect both short- and long-term outcomes. By understanding what neonatal hypotension is and knowing when and how to treat it, the neonatal clinician honors this charge and can safely and effectively manage the very low-birth-weight infant with hypotension shortly after birth.
“首要的是不伤害”，这句拉丁语表述的意思是“首先，不要造成伤害”，这是新生儿临床医生在开始治疗或建议治疗时应牢记的一句话。在超低出生体重儿复苏的“黄金一小时”里，团队成员会评估婴儿生命体征的多个参数，其中关键的一项是心血管状况，特别是血压。在未进行评估并根据检查结果制定合理的护理计划就试图处理某个数值，这将影响短期和长期预后。通过了解新生儿低血压是什么以及知道何时以及如何治疗它，新生儿临床医生履行了这一职责，并且能够在出生后不久安全有效地管理患有低血压的超低出生体重儿。
