Bennek J
Zentralbl Chir. 1980;105(11):698-704.
A further improvement of the chance of survival in neonatal surgery can be achieved by close cardiorespirographical observation. Neonates with adaptation problems should be operated upon -- if malformation permits surgery and there is no absolute urgency -- not before normalization of the cardiorespirogram. Stress of operation and anaesthesia lead to cardiac dysregulations in the very early postoperative stage. Deceleration of the heart beat rate due to respiration or a silent cardiogram with decrease of the beat rate and respiratory depression should be regarded as dangerous disturbances.
通过密切的心电呼吸监测,可以进一步提高新生儿手术的存活几率。有适应问题的新生儿——如果畸形允许手术且并非绝对紧急——应在心电图恢复正常后再进行手术,而非在此之前。手术和麻醉的应激会在术后早期导致心脏调节紊乱。因呼吸导致的心率减慢或心电图平静且心率降低以及呼吸抑制应被视为危险的干扰情况。