新生儿疾病neonataldisease.pptVIP

Manifestation Irregular breathing Apnea Tachypnea Nasal flaring three depression sign(sternal, intercostal, subcostal) Cyanosis Diagnosis Clinical Manifestation: irregular breathing,dyspnea,tachypnea etc Radiological Findings: some patchy shadows,empyema, atelectasis,pneumothorax can be seen X-ray pneumonia atelectasis X-ray pneumothorax pleural effusion Treatment Respiratory tract management (slap back, suction,nebulization) Oxygen therapy(avoid ROP) Antibiotics Others: balance of energy acid- base, electrolytes, etc What diseases we will see in clinic? Asphyxia of newborn Neonatal jaundice Neonatal hypoxic-ischaemic encephalopathy neonatal intracranial haemorrhage neonatal septicemia neonatal pneumonia Question How to diagnosis pathological jaundice. Feature of preterm newborn. Neonatal Problems Arrangement 今日安排 1. Review the associated knowledge (25 ’) 2. Clinical probation in neonatal department (75 ’) 3. Summary (20 ’) Familia with the difference of preterm neonate and term neonate Get hold of clinical manifestation of neonate pnemonia Get hold of difference of physiological and pathological jaundice 目的要求 Objective and Request Defination Neonate-- 新生儿 0—28 days Infant--婴儿 0—1 years old. Definition of Neonate(1): related to GA Preterm/ premature neonate:37 w 早产儿 Term neonate: 37～42 w 足月儿 Post-term neonate: ≥42 w 过期产儿 How to identify 怎样识别 skin head and hair ear thenar galactophore genitalia Difference of term and preterm skin 皮肤 Difference of term and preterm thenar 足纹 Difference of term and preterm galactophore乳腺 Difference of term and preterm ear conch耳壳 Difference of term and preterm