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Current problems in pediatrics最新文献

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Practical issues in the care of pediatric trauma patients 儿科创伤患者护理中的实际问题
Current problems in pediatrics
Pub Date : 1998-11-01 DOI: 10.1016/S0045-9380(98)80063-7
MD Jane F. Knapp (Professor of Pediatrics)

Childhood injuries are a preventable problem that continue to occur with alarming frequency. The pediatrician has a broad role in the prevention and treatment of injuries. When primary prevention fails, trauma care providers must recognize that an injured child is a unique patient who requires special considerations. Use of an organized approach will assure that injuries are not missed. The care of an injured child presents pediatricians with a tremendous responsibility. Injury prevention presents the pediatrician with a formidable challenge.

儿童期伤害是一个可预防的问题，它继续以惊人的频率发生。儿科医生在预防和治疗损伤方面发挥着广泛的作用。当初级预防失败时，创伤护理提供者必须认识到，受伤的儿童是一个独特的病人，需要特殊的考虑。使用有组织的方法将确保不会错过伤害。对受伤儿童的护理给儿科医生带来了巨大的责任。伤害预防给儿科医生提出了一个艰巨的挑战。
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引用次数: 2
Clinical facts and curios 临床事实和奇闻
Current problems in pediatrics
Pub Date : 1998-11-01 DOI: 10.1016/S0045-9380(98)80064-9
MD James A. Stockman III (President, American Board of Pediatrics)
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引用次数: 0
Late complications after bone marrow transplantation in children and adolescents 儿童和青少年骨髓移植后的晚期并发症
Current problems in pediatrics
Pub Date : 1998-10-01 DOI: 10.1016/S0045-9380(98)80030-3
MD Farid Boulad , PsyD Stephen Sands , MD Charles Sklar
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引用次数: 49
Clinical facts and curios 临床事实和奇闻
Current problems in pediatrics
Pub Date : 1998-10-01 DOI: 10.1016/S0045-9380(98)80034-0
MD James A. Stockman III (President, American Board of Pediatrics Professor of Clinical Pediatrics, University of North Carolina Clinical Professor, Duke University Medical Center)
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引用次数: 0
Managing asthmatic airway inflammation: What is the role of expired nitric oxide measurement? 管理哮喘性气道炎症:过期一氧化氮测量的作用是什么?
Current problems in pediatrics
Pub Date : 1998-09-01 DOI: 10.1016/S0045-9380(98)80006-6
MD Benjamin Gaston (Assistant Professor of Pediatrics)
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引用次数: 13
Nitric oxide inhalation therapy for newborn infants 新生儿一氧化氮吸入疗法
Current problems in pediatrics
Pub Date : 1998-09-01 DOI: 10.1016/S0045-9380(98)80011-X
MD Jeffrey W. Skimming (member)

Binding of NO to heavy metal—containing proteins probably accounts for many of its physiologic actions. NO inhalation is a promising new treatment for various disorders of neonates. The therapy is most likely to benefit premature neonates who are hypoxemic despite breathing pure oxygen and those who suffer from impaired carbon dioxide elimination. Newborn infants who have congenital heart disease may benefit from inhaled NO therapy if their disease involves some form of pulmonary venous hypertension or if they have recently undergone surgery involving cardiopulmonary bypass grafting. The use of NO in infants with PPHN might obviate the need for ECMO or other invasive treatment methods. Neonates with CDH seem likely to benefit marginally from NO therapy. Minimizing the toxicities of NO inhalation therapy requires that the physician understand the nuances of infant care. The therapeutic value of increasing carbon dioxide elimination with NO inhalation warrants further investigation.

一氧化氮与含重金属蛋白质的结合可能解释了它的许多生理作用。一氧化氮吸入是一种很有前途的治疗新生儿各种疾病的新方法。这种疗法最有可能对那些尽管呼吸纯氧却缺氧的早产儿和那些二氧化碳消除受损的早产儿有益。患有先天性心脏病的新生儿，如果他们的疾病涉及某种形式的肺静脉高压，或者如果他们最近接受了心肺旁路移植手术，则吸入NO治疗可能会受益。在患有PPHN的婴儿中使用NO可能会避免ECMO或其他侵入性治疗方法的需要。患有CDH的新生儿似乎可能从NO治疗中获益。将NO吸入疗法的毒性降到最低要求医生了解婴儿护理的细微差别。吸入一氧化氮增加二氧化碳消除的治疗价值值得进一步研究。
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引用次数: 6
Clinical facts and curios 临床事实和奇闻
Current problems in pediatrics
Pub Date : 1998-09-01 DOI: 10.1016/S0045-9380(98)80016-9
MD James A. Stockman III (President, American Board of Pediatrics Professor of Clinical Pediatrics, University of North Carolina Clinical Professor, Duke University Medical Center)
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引用次数: 0
Clinical facts and curios 临床事实和奇闻
Current problems in pediatrics
Pub Date : 1998-08-01 DOI: 10.1016/S0045-9380(98)80052-2
MD James A. Stockman III (President, American Board of Pediatrics Professor of Clinical Pediatrics, University of North Carolina School of Medicine Consultant Professor, Duke University Medical Center)
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引用次数: 0
A rational approach to the outpatient management of lacerations in pediatric patients 儿科患者撕裂伤的合理门诊处理方法
Current problems in pediatrics
Pub Date : 1998-08-01 DOI: 10.1016/S0045-9380(98)80048-0
MD John T. Kanegaye
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引用次数: 5
Altitude-related illness in children 儿童与海拔有关的疾病
Current problems in pediatrics
Pub Date : 1998-07-01 DOI: 10.1016/S0045-9380(98)80066-2
MD Todd C. Carpenter , MD Susan Niermeyer , MD Anthony G. Durmowicz
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引用次数: 19
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