心脏彩色多普勒超声用于胸腔镜手术中新生儿持续肺动脉高压的观察被引量：5

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摘要在新生儿早期,低氧、高碳酸血症、酸中毒、感染、低温和早产等因素可使肺动脉压突然增高,血流经再开放的卵圆孔或动脉导管发生右向左分流,称为新生儿持续肺动脉高压,又称持续胎儿循环,在出生前10d内尤其容易发生[1]。临床主要表现为严重低氧血症,如此则形成恶性循环。先天性食管闭锁和食管气管瘘多合并吸入性肺炎,先天性膈疝常并发肺发育不良,两种患儿亦有不少早产.

作者肖煜李强胡华琨沈世晖陈苏江

机构地区江西省儿童医院麻醉科

出处《临床麻醉学杂志》 CAS CSCD 北大核心 2018年第9期905-906,共2页 Journal of Clinical Anesthesiology

基金江西省卫生计生委科技计划课题(20155588)

关键词新生儿持续肺动脉高压高碳酸血症低氧血症胸腔镜手术人工气胸彩色多普勒超声

分类号 R722.1 [医药卫生—儿科] R445.1 [医药卫生—影像医学与核医学]

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1无.新生儿肺动脉高压诊治专家共识[J].中华儿科杂志,2017,55(3):163-168. 被引量：176
2徐颖怡,张国强,宋兴荣,刘威,潘永英.支气管封堵器单肺通气在新生儿电视胸腔镜手术中的应用[J].国际麻醉学与复苏杂志,2016,37(7):596-599. 被引量：11
3尹红,赵平.新生儿胸腔镜手术麻醉进展[J].国际儿科学杂志,2016,43(6):474-478. 被引量：4

二级参考文献54

1Pinheiro PF, Sim~es eSAC, Pereira RM. Current knowledge on e- sophageal atresia [ J ]. World J Gastroenterol, 2012, 18 ( 28 ) : 3662- 3672. DOI:10.3748/wjg. v18. i28. 3662.
2van der Zee DC, Tytgat SH, Zwaveling S, et al. Learning curve of thoracoscopic repair of esophageal atresia [ J ]. World J Surg, 2012,36 (9) :2093-2097. DOI: 10. 1007/s00268-012-1651-8.
3Castilloux J, Noble AJ, Faure C. Risk factors for short- and long-term morbidity in children with esophageal atresia[ J~. J Pediatr,2010,156 ( 5 ) :755-760. DOI: 10. 1016/j. jpeds. 2009.11. 038.
4Lacher M, Kuebler JF, Dingemann J, et al. Minimal invasive surgery in the newborn:current status and evidence [ J 1. Semin Pediatr Surg, 2014,23 (5) :249-256. DOI: 10. 1053/j. sempedsurg. 2014.09. 004.
5Brochard L. New goals for positive end-expiratory pressure in acute respiratory distress syndrome:a paradigm shift or the end of an area of uncertainty[J]. Am J Respir Crit Care Med,2010,181 (6) :528- 530. DOI: 10.1164/rccm. 201001-0039ED.
6Azab SF, Sherbiny HS, Saleh SH, et al. Reducing ventilator-associat- ed pneumonia in neonatal intensive care unit using "VAP prevention Bundle" : a cohort study [ J ]. BMC Infect Dis, 2015,15 : 314. DOI : 10.1186/s12879-015-1062-1.
7Cho I-IJ, Shim SY, Son DW, et al. Respiratory viruses in neonates hos- pitalized with acute lower respiratory tract infections [ J ]. Pediatr Int, 2013,55 ( 1 ) :49-53. DOI: 10. 1111/j. 1442-200X. 2012. 03727. x.
8Davidson AJ, Disma N, de Graaff JC, et al. Neurodevelopmental out- come at 2 years of age after general anaesthesia and awake-regional anaesthesia in infancy ( GAS ) : an international multicentre, random- ised controlled trial [ J ]. Lancet, 2016,387 ( 10015 ) : 239-250. DOI: 10. 1016/S0140-6736 ( 15 )00608-X.
9Raper J, Alvarado MC, Murphy KL, et al. Multiple Anesthetic Expo- sure in Infant Monkeys Alters Emotional Reactivity to an Acute Stressor[ J ]. Anesthesiology, 2015,123 ( 5 ) : 1084-1092. DOI: 10. 1097/ALN. 0000000000000851.
10Hansen TG. Anesthesia-related neurotoxicity and the developing ani- mal brain is not a significant problem in children[J]. Paediatr An- aesth ,2015,25 ( 1 ) :65-72. DOI: 10.1111/pan. 12548.