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[药物成瘾母亲的新生儿。临床与治疗问题]

[The newborn infant of the drug addicted mother. Clinical and therapeutic problems].

作者信息

González-Hachero J, Arroyo Díez J, López Delgado J, Sáenz Rueguera C, López Sanz A, Santano Gallinato M, Chunga Vega F

机构信息

Departamento de Pediatría, Hospital Universitario Virgen de la Macarena, Sevilla.

出版信息

An Esp Pediatr. 1989 Sep;31(3):205-9.

PMID:2631602
Abstract

A revision of 16 newborns and their heroin-addicted mothers was carried out. The mean maternal age was 23.06 +/- 3.43 years, and mean duration of addiction was 3.07 +/- 1.43 years. The last dose of heroin was administered less than 24 hours prior to giving birth in every [corrected] case except one. Antenatal care was irregular and previous abortions were frequent. Two mothers had a history of syphilis, five had markers for anti-HIV antibodies. The mean duration of pregnancy was 37.8 +/- 2.28 weeks, and unknown in five cases. Mean birth weight was 2.715 +/- 281 g. Withdrawal symptoms were observed in 13 babies. Of these, 12 required treatment with phenobarbital and in 1 case with chlorpromazine as well. In 9 babies, hepatitis B prophylaxis was carried out and three had HIV antibodies.

摘要

对16名新生儿及其海洛因成瘾母亲进行了复查。母亲的平均年龄为23.06±3.43岁,平均成瘾时间为3.07±1.43年。除1例[校正后]外,每例母亲在分娩前不到24小时都使用了最后一剂海洛因。产前护理不规律,既往流产频繁。两名母亲有梅毒病史,五名有抗HIV抗体标志物。平均妊娠时长为37.8±2.28周,5例情况不明。平均出生体重为2.715±281克。13名婴儿出现了戒断症状。其中,12名需要用苯巴比妥治疗,1例还需要用氯丙嗪治疗。9名婴儿进行了乙肝预防,3名有HIV抗体。

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