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延长的毛细血管再充盈时间作为室上性心动过速婴儿循环功能受损的早期征象:一例报告

Prolonged Capillary Refill Time as an Early Sign of Compromised Circulation in an Infant With Supraventricular Tachycardia: A Case Report.

作者信息

Zensho Kazumasa, Mitsui Kojiro, Ogino Kayo

机构信息

Pediatrics, Okayama University Hospital, Okayama, JPN.

Pediatrics, Kurashiki Medical Center, Okayama, JPN.

出版信息

Cureus. 2024 Dec 17;16(12):e75913. doi: 10.7759/cureus.75913. eCollection 2024 Dec.

DOI:10.7759/cureus.75913
PMID:39711927
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11661656/
Abstract

Capillary refill time (CRT) is a valuable clinical sign in pediatric assessment, particularly in evaluating circulatory status. We present a case of a one-month-old infant with supraventricular tachycardia (SVT), who demonstrated prolonged CRT, emphasizing the importance of this physical examination finding in the context of other signs of compromised circulation.

摘要

毛细血管再充盈时间(CRT)是儿科评估中一项重要的临床体征,尤其在评估循环状态时。我们报告一例1个月大患有室上性心动过速(SVT)的婴儿,该婴儿表现出毛细血管再充盈时间延长,强调了在存在其他循环功能受损体征的情况下这一体格检查发现的重要性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6746/11661656/ecc2e606aa0d/cureus-0016-00000075913-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6746/11661656/ecc2e606aa0d/cureus-0016-00000075913-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6746/11661656/ecc2e606aa0d/cureus-0016-00000075913-i01.jpg

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本文引用的文献

1
Capillary refill time in sepsis: A useful and easily accessible tool for evaluating perfusion in children.脓毒症中的毛细血管再充盈时间:评估儿童灌注情况的一种实用且易于获取的工具。
Front Pediatr. 2022 Nov 17;10:1035567. doi: 10.3389/fped.2022.1035567. eCollection 2022.
2
Point-Of-Care Capillary Refill Technology Improves Accuracy of Peripheral Perfusion Assessment.即时护理毛细血管再充盈技术提高了外周灌注评估的准确性。
Front Med (Lausanne). 2021 Jul 22;8:694241. doi: 10.3389/fmed.2021.694241. eCollection 2021.
3
European Resuscitation Council Guidelines 2021: Paediatric Life Support.
欧洲复苏委员会指南 2021:儿科生命支持。
Resuscitation. 2021 Apr;161:327-387. doi: 10.1016/j.resuscitation.2021.02.015. Epub 2021 Mar 24.
4
Optimal pressing strength and time for capillary refilling time.用于毛细血管再充盈时间的最佳按压强度和时间。
Crit Care. 2019 Jan 8;23(1):4. doi: 10.1186/s13054-018-2295-3.
5
Capillary refill time in sick children: a clinical guide for general practice.患病儿童的毛细血管再充盈时间:全科医疗临床指南
Br J Gen Pract. 2016 Nov;66(652):587. doi: 10.3399/bjgp16X687925.
6
Incidence, Severity, and Association With Adverse Outcome of Hyponatremia in Children Hospitalized With Heart Failure.因心力衰竭住院儿童低钠血症的发生率、严重程度及其与不良结局的关联
Am J Cardiol. 2016 Oct 1;118(7):1006-10. doi: 10.1016/j.amjcard.2016.07.014. Epub 2016 Jul 18.
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The Diagnostic Value of Capillary Refill Time for Detecting Serious Illness in Children: A Systematic Review and Meta-Analysis.毛细血管再充盈时间对儿童重症疾病检测的诊断价值:一项系统评价与Meta分析
PLoS One. 2015 Sep 16;10(9):e0138155. doi: 10.1371/journal.pone.0138155. eCollection 2015.
8
How to use capillary refill time.如何使用毛细血管再充盈时间。
Arch Dis Child Educ Pract Ed. 2014 Jun;99(3):111-6. doi: 10.1136/archdischild-2013-305198. Epub 2013 Nov 13.
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Pediatr Crit Care Med. 2013 Oct;14(8):e380-7. doi: 10.1097/PCC.0b013e3182976402.
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Pediatric basic and advanced life support: 2010 International Consensus on Cardiopulmonary Resuscitation and Emergency Cardiovascular Care Science with Treatment Recommendations.儿科基础与高级生命支持:2010年国际心肺复苏与心血管急救科学及治疗建议共识。
Pediatrics. 2010 Nov;126(5):e1261-318. doi: 10.1542/peds.2010-2972A. Epub 2010 Oct 18.