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出生后立即对新生儿心肺状态进行无创监测

[Non-invasive monitoring of the cardiopulmonary status of newborn infants immediately following birth].

作者信息

Schachinger H

出版信息

Klin Padiatr. 1985 Mar-Apr;197(2):161-3. doi: 10.1055/s-2008-1033957.

DOI:10.1055/s-2008-1033957
PMID:3990152
Abstract

Blood gas and acid base values in cord blood are not predictive for neonatal cardiopulmonary adaptation on the extrauterine life. The oxygen-cardiorespirography shows objectively the state of adaptation. By this monitoring beat-to-beat heart rate, respiratory rate, thoracic impedance and the transcutaneous PO2 are measured. 16 of 337 newborns had severe cardiopulmonary problems (11 respiratory distress, 5 congenital heart disease), which was seen in at least one of the parameters. In 10 of 16 infants a pathological pattern was recognized by oxygen-cardiorespirography before clinical symptoms appeared. Additional information can be given by the hyperoxia test to differentiate healthy and sick newborns (respiratory problems and congenital heart disease). With two tcPO2-electrodes fixed on the thorax and abdomen, the shunt through an open ductus arteriosus can be estimated by different values.

摘要

脐血中的血气和酸碱值不能预测新生儿宫外生活时的心肺适应情况。氧心呼吸描记法能客观显示适应状态。通过这种监测可逐搏测量心率、呼吸频率、胸阻抗和经皮氧分压。337名新生儿中有16名存在严重心肺问题(11例呼吸窘迫,5例先天性心脏病),这些问题至少在其中一项参数中有所体现。在16名婴儿中的10名中,氧心呼吸描记法在临床症状出现前就识别出了病理模式。高氧试验可为区分健康和患病新生儿(呼吸问题和先天性心脏病)提供额外信息。通过将两个经皮氧分压电极固定在胸部和腹部,可根据不同数值估算动脉导管未闭的分流情况。

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