新生儿硬肿症文件材料.pptVIP

Neonatal Cold Injury Syndrome (sclerema neonatorum); Objectives;Distribution of neonatal brown fat; Cold injury ● Cold environment increase heat loss, low body temperature causes constriction of peripheral blood vessels, dysfunction of microcirculation ● Low body temperature and cold environment cause anoxia, metabolic disturbance and acidosis even multiple organ dysfunction (MOD); ;Imbalance between heat production and loss;Imbalance between heat production and loss;immature of temperature center relative larger surface ;Anoxia, acidosis; multiple organ dysfunction ● bradycardia, dyspnea, ● microcirculation disturbance, ● shock, DIC, ● acute renal failure, ● pulmonary hemorrhage;Evaluation of body surface area; Degrees of NCIS Body temperature(℃) involved area change of organic anus T axil – anus T (%、color) function I0 ≥ 35 positive 20 no change (mild) pale II0 35 0 or positive 20～50 poor reaction (moderate) dark red bradycardia III0 35 negative 50 shock、DIC、 (severe) or 30 cyanotic PH or ARF; nonspecific examination for diagnosis. blood gas analysis, CT, PT, blood glucose level, platelet, electrolytes, BUN, fibrogen, etc. EKG, X - ray ;Differential diagnosis;Neonatal edema ;Differential diagnosis;Neonatal Subcutaneous Gangrene;treatment;Treatment ● Restoration of body temperature ● Energy supply and fluid infusion ● Correction of organ dysfunction · correction of acidosis and volume expansion · treatment of pulmonary hemorrhag