新生儿期的医源性损害

Peter G.J Nikkels
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引用次数: 4

摘要

新生儿期治疗过程的医源性损伤可产生严重后果。虽然大多数副作用都很轻微,但有些可能会导致婴儿严重残疾或死亡。新的治疗策略的发展可能导致以前未观察到的病理组合。这篇综述的重点是在几种不同的治疗干预措施后发生在几个器官的医源性损伤。特别注意肺部和胃肠道损伤以及医源性损伤作为全身治疗的结果。只有当病理学家非常了解所使用的治疗干预措施,所有医疗装置都留在原地,并尽可能彻底地进行彻底解剖时,才有可能获得有价值的信息和早期发现严重的副作用。然而,尸检率的下降可能使确定医源性病变的发生率变得更加困难。
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Iatrogenic damage in the neonatal period

Iatrogenic damage from a therapeutic procedure in the neonatal period can have serious consequences. Although most side effects are minor, some may result in a major handicap or death of the infant. The development of new therapeutic strategies may result in not previously observed combinations of pathology. This review focuses on iatrogenic damage occurring in several organs and after several different therapeutic interventions. Special attention is given to pulmonary and gastrointestinal damage and iatrogenic damage as a result of systemic treatments. Valuable information and early detection of serious side effects is only possible when the pathologist is very well informed about the therapeutic interventions used, all medical devices are left in situ and a thorough autopsy is performed as completely as is permitted. However, the decline in autopsy rates could make it more difficult to determine the incidence of iatrogenic lesions.

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Neonatal autopsy Clinical aspects of neonatal death and autopsy Placental vascular development and neonatal outcome Placental inflammation Perimortem laboratory investigation of genetic metabolic disorders
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