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颅内压。足月和早产婴儿的连续测量

Intracranial pressure. Sequential measurements in full-term and preterm infants.

作者信息

Philip A G, Long J G, Donn S M

出版信息

Am J Dis Child. 1981 Jun;135(6):521-4.

PMID:7234786
Abstract

Intracranial pressure (ICP) was measured sequentially using a pressure-activated fiberoptic device that is placed over the anterior fontanel in 120 full-term and 53 preterm infants during the first week after birth. Mean birth weight in full-term infants was 3,527 g (range, 2,720 to 4,620 g) and in preterm infants was 1,695 g (range 1,130 to 2,440 g). Mean ICP was 12.6, 12.1, and 11.4 cm H2O on days 1,2, and 3 in full-term infants, and was 10.2, 17.0, 11.0, 8.9, 7.3 cm H20 on days 1, 2, 3, 5, 7 in preterm infants. The values in preterm infants did not seem to be related to differences in Apgar scores, but higher values were seen in infants treated with continuous positive airway pressure administered by nasal prongs (before the method of fixation was changed). More stable values have been seen recently in preterm infants, which may reflect changes in care (eg, less hypoxemia).

摘要

在出生后的第一周,使用置于前囟门上的压力激活光纤装置,对120名足月儿和53名早产儿依次测量颅内压(ICP)。足月儿的平均出生体重为3527克(范围为2720至4620克),早产儿的平均出生体重为1695克(范围为1130至2440克)。足月儿在出生第1、2、3天的平均ICP分别为12.6、12.1和11.4厘米水柱,早产儿在出生第1、2、3、5、7天的平均ICP分别为10.2、17.0、11.0、8.9、7.3厘米水柱。早产儿的这些数值似乎与阿氏评分差异无关,但在用鼻导管持续气道正压通气治疗的婴儿中观察到更高的数值(在固定方法改变之前)。最近在早产儿中观察到更稳定的数值,这可能反映了护理的变化(例如,低氧血症减少)。

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引用本文的文献

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Front Neurol. 2018 Oct 9;9:812. doi: 10.3389/fneur.2018.00812. eCollection 2018.
2
Non-invasive measurement of intracranial pressure in the newborn and the infant: the Rotterdam teletransducer.新生儿和婴儿颅内压的无创测量:鹿特丹远程传感器
Arch Dis Child. 1993 Nov;69(5 Spec No):493-7. doi: 10.1136/adc.69.5_spec_no.493.
3
New fontanometer for continuous estimation of intracranial pressure in the newborn.
用于持续评估新生儿颅内压的新型 Fontan 测压仪。
Arch Dis Child. 1987 Feb;62(2):152-5. doi: 10.1136/adc.62.2.152.
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Intracranial pressure and its monitoring in childhood: a review.儿童颅内压及其监测:综述
J R Soc Med. 1987 Sep;80(9):566-70. doi: 10.1177/014107688708000911.
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Handwashing and cohorting in prevention of hospital acquired infections with respiratory syncytial virus.洗手和分组护理预防呼吸道合胞病毒医院获得性感染
Arch Dis Child. 1991 Feb;66(2):227-31. doi: 10.1136/adc.66.2.227.
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The influence of head position on the intracranial pressure in preterm infants with posthemorrhagic hydrocephalus.
Childs Nerv Syst. 1991 Apr;7(2):85-7. doi: 10.1007/BF00247862.