Menchini M, De Luca L, Torricelli M, Ballarin E, Montieri R
Pediatr Med Chir. 1982 Jan-Apr;4(1-2):119-25.
The effects of drug addiction in perinatal period and its clinical, diagnostic and therapeutic problems have been considered. The authors reported five cases of newborns from addicted mothers. Neurologic symptoms were present in all cases, gastro-intestinal disturbances were present in two newborns. One presented with convulsions and died for severe hyaline membrane disease. One newborn was small for gestational age and one was premature. Treatment has been carried out successfully with diazepam and/or phenobarbital in four cases. The authors stress the importance for a careful methadone program during pregnancy in order to reduce prematurity and neurologic sequelae of the narcotic withdrawal syndrome.
本文探讨了药物成瘾在围产期的影响及其临床、诊断和治疗问题。作者报告了5例来自成瘾母亲的新生儿病例。所有病例均出现神经系统症状,2例新生儿出现胃肠道紊乱。1例出现惊厥,因严重透明膜病死亡。1例新生儿为小于胎龄儿,1例为早产儿。4例使用地西泮和/或苯巴比妥成功进行了治疗。作者强调孕期谨慎实施美沙酮方案对于减少早产和麻醉品戒断综合征神经后遗症的重要性。