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[新生儿和婴儿期的输液治疗并发症]

[Infusion therapy complications in newborn and nursing infants].

作者信息

Eremeeva A S, Cherniavskaia N A

出版信息

Arkh Patol. 1978;40(9):18-23.

PMID:81668
Abstract

The case histories of 306 babies dying at the age under 6 months were analysed. All the babies were given medicinal and nutrient solutions mainly via the subclavical veins for different diseases. In the process of the infusion therapy complications were observed which were distributed into 5 groups: 1--traumatic injuries, 2--air embolism, 3--thrombosis, 4--diffuse hyalin thrombi predominantly in the lung vessels, 5--acute renal insufficiency (ARI). Formation of the hyalin thrombi appeared to be due to the damaging effect of the administered solutions on the vascular endothelium and changes in the properties of erythrocytes and blood plasma. In the development of ARI some importance is ascribed to infusion overloading of the structurally and functionally immature kidneys of young infants.

摘要

对306例6个月以下死亡婴儿的病历进行了分析。所有婴儿因不同疾病主要通过锁骨下静脉给予药物和营养液。在输液治疗过程中观察到并发症,分为5组:1 - 创伤性损伤;2 - 空气栓塞;3 - 血栓形成;4 - 主要在肺血管中的弥漫性透明血栓;5 - 急性肾功能不全(ARI)。透明血栓的形成似乎是由于所给溶液对血管内皮的损伤作用以及红细胞和血浆性质的改变。在ARI的发生过程中,婴幼儿结构和功能不成熟的肾脏输液过载具有一定重要性。

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