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新生儿对过热的反应。

Responses of the newborn infant to overheating.

作者信息

Harpin V A, Chellappah G, Rutter N

出版信息

Biol Neonate. 1983;44(2):65-75. doi: 10.1159/000241698.

DOI:10.1159/000241698
PMID:6882846
Abstract

The responses of newborn babies to overheating were investigated by exposing them to progressively higher incubator air temperatures until either sweating occurred or the rectal temperature reached 37.9 degrees C. 112 studies were performed on 83 healthy term and preterm infants. Activity, posture, heart rate, respiratory rate, skin colour and abdominal skin and hand temperature were monitored. Most babies regardless of gestational age became less active, and they frequently fell asleep at the warmest setting. The majority of infants altered their posture from predominantly flexion to extension. There were no significant changes in heart rate or respiratory rate. The skin of almost all the babies became redder, and the difference between central and peripheral skin temperatures decreased with warming. The pattern of these changes varied with maturity suggesting the development of vasomotor control. It is a surprising finding that even the most immature babies appear to make appropriate responses to heat stress. These responses may aid in the recognition of a baby who is too warm.

摘要

通过将新生儿置于逐渐升高的培养箱空气温度中,直至出汗或直肠温度达到37.9摄氏度,来研究新生儿对过热的反应。对83名健康足月儿和早产儿进行了112项研究。监测了活动、姿势、心率、呼吸频率、皮肤颜色以及腹部皮肤和手部温度。大多数婴儿,无论其胎龄如何,活动都减少了,并且在最温暖的环境中经常入睡。大多数婴儿的姿势从主要的屈曲变为伸展。心率和呼吸频率没有显著变化。几乎所有婴儿的皮肤都变得更红,随着温度升高,中心皮肤温度与外周皮肤温度之间的差异减小。这些变化模式随成熟度而变化,表明血管运动控制的发展。一个令人惊讶的发现是,即使是最不成熟的婴儿似乎也能对热应激做出适当反应。这些反应可能有助于识别过热的婴儿。

相似文献

1
Responses of the newborn infant to overheating.新生儿对过热的反应。
Biol Neonate. 1983;44(2):65-75. doi: 10.1159/000241698.
2
Response of term babies to a warm environment.足月儿对温暖环境的反应。
Arch Dis Child. 1979 Mar;54(3):178-83. doi: 10.1136/adc.54.3.178.
3
Sweating in preterm babies.早产儿出汗。
J Pediatr. 1982 Apr;100(4):614-9. doi: 10.1016/s0022-3476(82)80768-3.
4
The heat balance of small babies nursed in incubators and under radiant warmers.在保温箱和辐射保暖器中护理的小婴儿的热平衡。
Early Hum Dev. 1982 Apr;6(2):131-43. doi: 10.1016/0378-3782(82)90100-1.
5
Thermal balance in term and preterm newborn infants nursed in an incubator equipped with a radiant heat source.在配备辐射热源的暖箱中护理的足月儿和早产儿的热平衡。
Acta Paediatr. 1997 Apr;86(4):403-9. doi: 10.1111/j.1651-2227.1997.tb09031.x.
6
Relative efficacy of radiant and convective heat in incubators in producing thermoneutrality for the premature.孵化器中辐射热和对流热对早产儿产生热中性的相对功效。
Pediatr Res. 1984 May;18(5):425-8. doi: 10.1203/00006450-198405000-00006.
7
HeatBalance, a computer program to determine optimum incubator air temperature and humidity. A comparison against nurse settings for infants less than 29 weeks gestation.热平衡,一种用于确定最佳暖箱空气温度和湿度的计算机程序。与孕周小于29周婴儿的护士设置进行比较。
Early Hum Dev. 2001 Apr;62(1):33-41. doi: 10.1016/s0378-3782(01)00112-8.
8
A double-walled incubator alters the partition of body heat loss of premature infants.双层壁培养箱改变了早产儿身体热量散失的分配。
Pediatr Res. 1983 Feb;17(2):135-40. doi: 10.1203/00006450-198302000-00011.
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Body temperatures and oxygen consumption during skin-to-skin (kangaroo) care in stable preterm infants weighing less than 1500 grams.体重小于1500克的稳定早产儿进行皮肤接触(袋鼠式)护理时的体温及耗氧量。
J Pediatr. 1997 Feb;130(2):240-4. doi: 10.1016/s0022-3476(97)70349-4.
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Head insulation for premature infants in servocontrolled incubators and radiant warmers.
Am J Dis Child. 1986 Sep;140(9):940-2. doi: 10.1001/archpedi.1986.02140230110046.

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Dress of infants in health and illness.婴儿在健康和患病时的着装。
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