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一项关于选定高危新生儿止血缺陷早期检测与纠正的临床试验。

A clinical trial on the early detection and correction of haemostatic defects in selected high-risk neonates.

作者信息

Turner T, Prowse C V, Prescott R J, Cash J D

出版信息

Br J Haematol. 1981 Jan;47(1):65-75. doi: 10.1111/j.1365-2141.1981.tb02762.x.

DOI:10.1111/j.1365-2141.1981.tb02762.x
PMID:7002204
Abstract

Low birth weight infants, preterm infants with respiratory distress syndrome and mature infants with asphyxia were screened for coagulation abnormalities as soon as possible after birth. Those with abnormal haemostasis were assigned to control or treatment groups and, in the latter case, were given prothrombin complex concentrate, cryoprecipitate or platelet concentrate as appropriate. This treatment was largely successful in correcting haemostatic defects but did not result in any change in mortality. There was no evidence of adverse or beneficial side-effects of treatment.

摘要

对低体重儿、患有呼吸窘迫综合征的早产儿以及窒息的足月儿在出生后尽快进行凝血异常筛查。止血功能异常者被分为对照组或治疗组,后者则根据情况给予凝血酶原复合物浓缩剂、冷沉淀或血小板浓缩剂。这种治疗在很大程度上成功纠正了止血缺陷,但并未导致死亡率发生任何变化。没有证据表明治疗存在不良或有益的副作用。

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A clinical trial on the early detection and correction of haemostatic defects in selected high-risk neonates.一项关于选定高危新生儿止血缺陷早期检测与纠正的临床试验。
Br J Haematol. 1981 Jan;47(1):65-75. doi: 10.1111/j.1365-2141.1981.tb02762.x.
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引用本文的文献

1
Pro-coagulant haemostatic factors for the prevention and treatment of bleeding in people without haemophilia.用于预防和治疗非血友病患者出血的促凝血止血因子。
Cochrane Database Syst Rev. 2018 Dec 24;12(12):CD010649. doi: 10.1002/14651858.CD010649.pub2.
2
Effectiveness of prothrombin complex concentrate (PCC) in neonates and infants with bleeding or risk of bleeding: a systematic review and meta-analysis.凝血酶原复合物浓缩剂(PCC)在新生儿和婴儿出血或有出血风险中的有效性:一项系统评价和荟萃分析。
Eur J Pediatr. 2017 May;176(5):581-589. doi: 10.1007/s00431-017-2877-0. Epub 2017 Mar 9.
3
A randomized trial comparing the effect of prophylactic intravenous fresh frozen plasma, gelatin or glucose on early mortality and morbidity in preterm babies. The Northern Neonatal Nursing Initiative [NNNI] Trial Group.
Eur J Pediatr. 1996 Jul;155(7):580-8. doi: 10.1007/BF01957909.
4
Micromethod for bleeding time in the newborn.新生儿出血时间的微量法
Arch Dis Child. 1985 Jan;60(1):51-3. doi: 10.1136/adc.60.1.51.
5
Prevention of intraventricular haemorrhage by fresh frozen plasma.新鲜冰冻血浆预防脑室内出血
Arch Dis Child. 1985 Aug;60(8):710-3. doi: 10.1136/adc.60.8.710.
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Low antithrombin III: accurate predictor of idiopathic respiratory distress syndrome in premature neonates.抗凝血酶III水平低:早产儿特发性呼吸窘迫综合征的准确预测指标
Eur J Pediatr. 1989 Feb;148(5):455-8. doi: 10.1007/BF00595913.
7
The use of plasma in the neonatal period.血浆在新生儿期的应用。
Arch Dis Child. 1991 Apr;66(4 Spec No):373-4. doi: 10.1136/adc.66.4_spec_no.373.