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本文分析新生儿期心力衰竭23例,男18例,女5例,死亡10例,尸检5例。并对原发病进行了探讨。新生儿早期发病者与母孕期疾病,临产时处理及新生儿窒息、吸入性肺炎、先心病有密切关系,后期与感染性肺炎、肺发育畸形有关。在原发病的基础上,新生儿心衰多伴有血气改变,酸碱及电解质失衡,故应注意动态检测并及时纠正。新生儿尤以早产儿对洋地黄较敏感,故剂量宜偏小,以免毒性反应。
This article analyzes 23 cases of neonatal heart failure, 18 males and 5 females, 10 cases of death, autopsy in 5 cases. And the primary disease was discussed. Early neonatal morbidity and maternal pregnancy, abortion and neonatal asphyxia, aspiration pneumonia, congenital heart disease are closely related to the late and infectious pneumonia, lung development and deformity. On the basis of the primary disease, many newborns with heart failure and blood gas changes, acid-base and electrolyte imbalance, it should be noted that the dynamic detection and timely correction. Newborns, especially pre-term children more sensitive to digitalis, so the dose should be small, so as to avoid toxic reactions.