Favrais G, Nguyen The Tich S
CHRU de Tours, service de réanimation néonatale et pédiatrique, Hôpital Clocheville, 49, boulevard Béranger, Tours, 37000 France; INSERM U930, Université François-Rabelais-de-Tours, 10, boulevard Tonnellé, Tours, 37032 France.
CHRU Lille, service de neuropédiatrie, Hôpital Salengro, rue du Professeur-Émile-Laine, Lille, 59037 France.
Arch Pediatr. 2017 Sep;24(9S):9S35-9S40. doi: 10.1016/S0929-693X(17)30329-9.
Neonatal monitoring and other explorations required just after neonatal arterial ischemic stroke (NAIS) diagnosis remain elusive. This review attempts to propose guidelines on this topic. During neonatal period, three major contexts related to NAIS emerge: 1) Metabolic disorders including hypoglycemia; 2) Early post-natal infections; 3) Cardio-vascular anomalies. Different patient profiles have been defined (typical, atypical and at risk profiles). According to these profiles, a final decisional tree including biological monitoring and complementary explorations has been suggested to caregivers.
新生儿动脉缺血性卒中（NAIS）诊断后所需的新生儿监测及其他检查仍不明确。本综述试图就该主题提出指导方针。在新生儿期，与NAIS相关的三种主要情况出现：1）代谢紊乱，包括低血糖；2）产后早期感染；3）心血管异常。已定义了不同的患者类型（典型、非典型和高危类型）。根据这些类型，已向护理人员建议了一个包括生物监测和辅助检查的最终决策树。
