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[新生儿状况的临床生物学评估及出生后早期管理策略]

[Clinico-biological evaluation of the status of newborn infants and the tactics in the management of the early postnatal period].

作者信息

Sukhanova L P, Elizarova I P, Chernaia V V, Kerova A N

出版信息

Akush Ginekol (Mosk). 1990 May(5):44-8.

PMID:2396726
Abstract

Biology of the perinatal period as a basis of neonatal management is an area of conceptual controversy. Literature evidence and findings of a clinical and functional study in 175 term newborns support the concept of intrapartum and neonatal stress. This is a rationale for a strategy of maintaining the adaptive mechanisms of the fetus and newborn in a maximal range and active support of neonatal homeostasis. Narcotic depression, prolonged hypothermia++ of various origins are considered as factors endangering the postnatal adaptation.

摘要

围产期生物学作为新生儿管理的基础是一个存在概念争议的领域。175名足月儿的临床和功能研究的文献证据及结果支持产时和新生儿应激的概念。这是将胎儿和新生儿的适应机制维持在最大范围并积极支持新生儿内稳态策略的理论依据。麻醉性抑制、各种原因引起的长时间体温过低被视为危及出生后适应的因素。

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