Blood pressure monitoring in the newborn.

Blood pressure monitoring in the newborn.
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新生儿血压监测。

DOI:
10.1136/adc.64.4_spec_no.444
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发表时间:
1989
影响因子:
5.2
通讯作者:
A. Weindling
A. Weindling
中科院分区:
医学2区
文献类型:
--
作者:
A. Weindling

文献摘要

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脑性瘫痪与脑缺血性病变如脑室周围白质软化症的关系现已明确。这种损害可能是由脑灌注的变化引起的。脑灌注在某些新生儿中是“压力被动”的假说越来越被广泛接受,在这些婴儿中,全身血压的变化可能直接传递到脑循环。如果我们接受这一观点,并且有越来越多的证据表明我们应该接受这一观点,5-7很明显,密切监测血压是成功的新生儿重症监护的先决条件。但重要的问题出现了:什么方法是最好的?血压的正常范围是多少?这个注释的目的是提供答案。
The association of cerebral palsy and cerebral ischaemic lesions such as periventricular leucomalacia is now clearly established. -4 Such lesions are likely to be caused by changes in cerebral perfusion. The hypothesis that cerebral perfusion is 'pressurepassive' in some newborn infants is becoming increasingly widely held and in these infants changes in systemic blood pressure are likely to be directly transmitted to the cerebral circulation. If we accept this point of view, and there is increasing evidence that we should,5-7 it is clear that close monitoring of blood pressure is a prerequisite for successful neonatal intensive care. But important questions arise: what method is best? what is the normal range of blood pressure? The purpose of this annotation is to provide answers.