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[新生儿因多次镇静行计算机断层扫描后发生呼吸衰竭]

[Respiratory failure in a newborn infant following repeated sedation for computerized tomography].

作者信息

Abel M

出版信息

Klin Padiatr. 1987 Jan-Feb;199(1):52-4. doi: 10.1055/s-2008-1026760.

Abstract

In very young pediatric patients, computed tomography can only be performed successfully after adequate immobilization with sedatives. The special age- and maturity-related features of the premature and neonatal period have to be considered when selecting the drug and the form of administration. Oral, intramuscular, or rectal premedication cannot be recommended for CT sedation of premature and newborn children. Likewise, multiple or repeated medication with different forms of administration should be avoided. A case report of a newborn with respiratory arrest following repeated sedation for computed cranial tomography illustrates the risks associated with such measures. Recommendations concerning drugs and procedure for the sedation of high-risk neonates for CT examinations are given.

摘要

在非常年幼的儿科患者中,计算机断层扫描只有在使用镇静剂充分固定后才能成功进行。在选择药物和给药方式时,必须考虑早产和新生儿期与年龄和成熟度相关的特殊特征。不建议对早产和新生儿进行计算机断层扫描镇静时采用口服、肌肉注射或直肠预处理。同样,应避免采用多种或重复的不同给药方式用药。一份关于一名新生儿在反复镇静进行头颅计算机断层扫描后呼吸骤停的病例报告说明了此类措施的风险。给出了关于高危新生儿计算机断层扫描检查镇静的药物和操作建议。

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