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新生儿的头部保温与热量散失

Head insulation and heat loss in the newborn.

作者信息

Stothers J K

出版信息

Arch Dis Child. 1981 Jul;56(7):530-4. doi: 10.1136/adc.56.7.530.

Abstract

The thermal balance of 13 term infants was measured in a closed-circuit metabolism chamber. Each was studied naked, then with a gamgee-lined hat, and finally with a 'cummerbund' made of a similar material and of similar dimensions. At 27 degrees C the oxygen consumption of the 'hatted' babies was only 85% and the total heat loss 75% of the values measured with the infants naked. The cummerbund offered no detectable benefit. An additional 10 infants were studied while wearing a tubegauze hat at environmental temperatures of 28.5 (+/- 0.5) degrees C. This type of hat gave no measurable thermal protection. It is concluded that a substantial reduction of thermal stress in adverse environments can be achieved simply and clearly by adequately covering the vault of the skull.

摘要

在一个闭路代谢室中测量了13名足月儿的热平衡。每个婴儿先裸体进行研究,然后戴上衬有吸水棉的帽子,最后戴上由类似材料制成且尺寸相似的“腹带”进行研究。在27摄氏度时,戴帽子婴儿的耗氧量仅为裸体婴儿测量值的85%,总热量损失为75%。腹带没有带来可检测到的益处。另外10名婴儿在环境温度为28.5(±0.5)摄氏度时戴着管状纱布帽进行了研究。这种类型的帽子没有提供可测量的热保护。结论是,在不利环境中,通过充分覆盖颅顶可以简单而明显地大幅降低热应激。

相似文献

1
Head insulation and heat loss in the newborn.新生儿的头部保温与热量散失
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Metabolic rate of sleeping infants.睡眠中婴儿的代谢率。
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本文引用的文献

1
Heat losses from the human head.人体头部的热量散失。
J Appl Physiol. 1957 Mar;10(2):235-41. doi: 10.1152/jappl.1957.10.2.235.
4
Evaporative water loss in the new-born baby.新生儿的蒸发失水
J Physiol. 1969 Feb;200(3):605-19. doi: 10.1113/jphysiol.1969.sp008711.
5
The total thermal insulation of the new-born baby.新生儿的总热绝缘
J Physiol. 1970 May;207(3):683-98. doi: 10.1113/jphysiol.1970.sp009088.
6
Aural temperature of the newborn infant.新生儿的耳温
Lancet. 1974 Nov 16;2(7890):1179-80. doi: 10.1016/s0140-6736(74)90816-2.
7
Aural temperature of the newborn infant.新生儿的耳温
Arch Dis Child. 1977 Nov;52(11):865-9. doi: 10.1136/adc.52.11.865.
8
Hats and lamps in the prevention of neonatal hypothermia.
Nurs Mirror Midwives J. 1977 Apr 21;144(16):65-6.
9
Effect of feeding on neonatal oxygen consumption.喂养对新生儿氧气消耗的影响。
Arch Dis Child. 1979 Jun;54(6):415-20. doi: 10.1136/adc.54.6.415.
10
Hats for the newborn infant.新生儿帽子。
Br Med J. 1979 Sep 8;2(6190):570-1. doi: 10.1136/bmj.2.6190.570.

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