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新生儿心肺骤停:脐静脉紧急导管插入术

Neonatal Cardio-pulmonary Arrest: Emergency Catheterization of Umbilical Vein.

作者信息

Paes B A, Blatz S, Kraftcheck D J

出版信息

Can Fam Physician. 1990 Jun;36:1135-40.

PMID:21233982
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC2280504/
Abstract

In an emergency, the physician responsible for neonatal care must be skilled in umbilical catheterization. Several drugs can be given through an endotracheal tube, but some require intravenous administration. The umbilical vein is a better route of administration than peripheral veins because it is easily located and can be entered readily. It allows immediate access to the central circulation, enhancing drug distribution. The authors outline the procedure in a step-by-step description. This pictorial article can be used as a handy reference by physicians needing to administer fluids and drugs during cardio-pulmonary arrest in neonates.

摘要

在紧急情况下,负责新生儿护理的医生必须熟练掌握脐静脉插管技术。几种药物可以通过气管内导管给药,但有些药物需要静脉注射。脐静脉是比外周静脉更好的给药途径,因为它易于定位且易于穿刺。它能立即进入中心循环,促进药物分布。作者逐步描述了该操作过程。这篇配有图片的文章可供在新生儿心肺骤停期间需要给予液体和药物的医生作为便捷参考。

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相似文献

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本文引用的文献

1
Localization of the umbilical catheter by post-mortem measurement.通过尸检测量确定脐静脉导管位置
Arch Dis Child. 1966 Feb;41(215):69-75. doi: 10.1136/adc.41.215.69.
2
Risk of local and systemic infections associated with umbilical vein catheterization: a prospective study in 86 newborn patients.脐静脉插管相关局部和全身感染的风险:对86例新生儿患者的前瞻性研究
Pediatrics. 1971 Sep;48(3):359-67.
3
Catheterization of umbilical vessels in newborn infants.
Pediatr Clin North Am. 1970 Nov;17(4):895-912. doi: 10.1016/s0031-3955(16)32486-5.
4
Rapid estimation of insertional length of umbilical catheters in newborns.新生儿脐静脉导管插入长度的快速估算
Am J Dis Child. 1986 Aug;140(8):786-8. doi: 10.1001/archpedi.1986.02140220068034.
5
Perforation of the peritoneum and intra-abdominal hemorrhage: a complication of umbilical vein catheterizations.腹膜穿孔和腹腔内出血:脐静脉插管的一种并发症。
Am J Dis Child. 1977 Oct;131(10):1102-3. doi: 10.1001/archpedi.1977.02120230048008.
6
Oesophageal varices as a late complication to neonatal umbilical vein catheterization.食管静脉曲张作为新生儿脐静脉插管的晚期并发症。
Acta Paediatr Scand. 1978 Sep;67(5):633-6. doi: 10.1111/j.1651-2227.1978.tb17814.x.