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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。

相似文献

1
[Infusion therapy complications in newborn and nursing infants].[新生儿和婴儿期的输液治疗并发症]
Arkh Patol. 1978;40(9):18-23.
2
[Complications of puncture catheterization of the subclavian vein in infants less than 1-year-old].
Arkh Patol. 1977;39(12):18-23.
3
[Complications of catheterization of the central veins].[中心静脉置管的并发症]
Vestn Akad Med Nauk SSSR. 1986(7):89-94.
4
[Complications of resuscitation and intensive therapy in infants (proceedings)].[婴儿复苏与强化治疗的并发症(会议记录)]
Arkh Patol. 1980;42(8):18-23.
5
[Complications of subclavian vein catheterization].[锁骨下静脉插管的并发症]
Med Sestra. 1983 Jun;42(6):41-3.
6
[The technic of infusion treatment and parenteral feeding in newborns and infants].[新生儿及婴儿的输液治疗与肠外营养技术]
Infusionsther Klin Ernahr. 1975 Feb;2(1):34-43.
7
[Gas embolism with neurological manifestations, a complication of subclavian vein catheterization].[气体栓塞伴神经症状,锁骨下静脉置管的一种并发症]
Rev Chir Oncol Radiol O R L Oftalmol Stomatol Chir. 1985 Nov-Dec;34(6):469-72.
8
[Infectious complications of intravenous perfusions in infants. I].[婴儿静脉输液的感染性并发症。I]
Rev Pediatr Obstet Ginecol Pediatr. 1982 Oct-Dec;31(4):329-42.
9
[Problem of catheter-embolism following subclavian puncture].[锁骨下穿刺后导管栓塞问题]
Z Gesamte Inn Med. 1976 May 15;31(10):327-30.
10
[Failures, errors and complications of puncture catheterization of the subclavian vein (a review of the literature].
Vestn Khir Im I I Grek. 1980 Dec;125(12):106-12.