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[脐带的早期和晚期结扎与新生儿的酸碱平衡]

[Early and late ligature of the umbilical cord and the acid-base equilibrium of the newborn infant].

作者信息

Castillo Sosa M L, Gutiérrez Hidalgo E, Karchmer S

出版信息

Bol Med Hosp Infant Mex. 1977 Nov-Dec;34(6):1251-61.

PMID:588336
Abstract

A comparative study was made between two groups of healthy newborns. In the first group (A), partial placental transfusion was propitiated and in the second group (B), the umbilical cord was ligated previous to the first inspiration. The behavior of the internal means was investigated carrying out a study of its acid-base equilibrium in umbilical vessels and in arterial blood of the newborn at 30 minutes of independent life. The analysis of the results confirmed significant statistical differences between both groups under study and the usefulness of one minute partial placental transfusion was substantiated. It verified besides that, although both groups showed similar behavior, the group where placental transfusion was propitiated showed a greater metabolic resource which was statistically confirmed. This circumstance propitiated a better accomplishment of homeostasis.

摘要

对两组健康新生儿进行了一项比较研究。在第一组(A组)中,促进了部分胎盘输血;在第二组(B组)中,在第一次呼吸前结扎脐带。通过对独立生活30分钟时新生儿脐血管和动脉血的酸碱平衡进行研究,调查了内部指标的表现。结果分析证实了所研究的两组之间存在显著的统计学差异,并证实了一分钟部分胎盘输血的有效性。此外还证实,尽管两组表现相似,但促进胎盘输血的组显示出更大的代谢资源,这在统计学上得到了证实。这种情况有利于更好地实现体内平衡。

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