[Characteristics of central and peripheral hemodynamics in infants with hemolytic disease of newborn].

Pediatriia Pub Date : 1992-01-01
M V Fedorova, E K Kotikova, M V Saliaeva
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Abstract

Overall 82 full-term neonates (52 children with hemolytic disease and 30 healthy neonates) were examined. The general circulation was investigated over time (on days 1, 3.5-7 of life). Use was made of echocardiography and monitor studies of arterial pressure and heart rate; lability of arterial pressure and general peripheral vascular resistance were computed. As a result of the studies and correlations, it has been revealed that neonates with hemolytic disease manifest appreciable disorders of the cardiovascular system, correlating with the disease gravity. Earlier times of the closure of fetal communications were established as were the hyperkinetic type of +cardiac hemodynamics, arterial hypotension accompanied by arterial pressure instability and a decrease of the general peripheral vascular resistance which should be taken into consideration in choosing therapeutic measures.

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[新生儿溶血病患儿中枢性和外周性血流动力学特征]。
总共检查了82名足月新生儿(52名患有溶血性疾病的儿童和30名健康新生儿)。随着时间的推移(在生命的第1天,3.5-7天),研究血液循环。利用超声心动图和动脉压、心率监测研究;计算动脉压不稳定性和周围血管阻力。研究结果显示,新生儿溶血性疾病表现出明显的心血管系统紊乱,与疾病严重程度相关。胎儿通信关闭的早期时间被确定为心脏血流动力学的高动力型,动脉低血压伴动脉压不稳定和一般周围血管阻力的降低,这些在选择治疗措施时应考虑到。
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