El-Khuffash Afif, McNamara Patrick J
Department of Neonatology, The Rotunda Hospital, Parnell Square, Dublin 1, DO1 P5W9, Ireland; Department of Paediatrics, School of Medicine, Royal College of Surgeons in Ireland, 123 St Stephen's Green, Dublin 2, Ireland.
Division of Neonatology, The Hospital for Sick Children, University of Toronto, 555 University Avenue, Toronto, Ontario MG5 1X8, Canada.
Clin Perinatol. 2017 Jun;44(2):377-393. doi: 10.1016/j.clp.2017.02.001. Epub 2017 Mar 9.
The management of the hemodynamic status of critically ill preterm infants, particularly around the periviable period, remains a significant challenge in the neonatal intensive care unit for a multitude of reasons. The causes of hemodynamic compromise in this population are heterogeneous and usually superimposed on the complex physiologic processes that occur during transition from fetal to neonatal life. This review outlines the unique nature of low blood flow states in this population and present an overview of the current methods for identification and assessment of hemodynamic compromise.
对于新生儿重症监护病房而言，危重新生儿尤其是接近可存活期的早产儿的血流动力学状态管理，由于多种原因仍然是一项重大挑战。该人群血流动力学受损的原因多种多样，通常叠加在从胎儿期到新生儿期过渡期间发生的复杂生理过程之上。本综述概述了该人群低血流状态的独特性质，并对目前识别和评估血流动力学受损的方法进行了综述。
