摘要：新生儿是人一生中发病率和死亡率最高的阶段,新生儿期的疾病常常会导致各种较严重的神经系统后遗症的发生,为进一步加强新生儿的转诊与急救工作,不断降低新生儿死亡率,保护新生儿生命安全,提出基于物联网技术的新生儿救治平台的建设方案。基于一定的设计原则和标准,从设施层、开发层、表现层和应用层四个方面设计救治平台的技术架构,利用先进的物联网技术,通过互联网平台实现危急重症新生儿跨院、跨区、跨市转运救治申请和接收,实现远程治疗方案指导和专家会诊,确保危急重症新生儿及时会诊、转诊和救治。

摘要：先天性心脏病为常见疾病,目前对其诊断的研究重点已开始转向重症及复杂先天性心脏病.因为不少重症及复杂先天性心脏病在新生儿期及婴幼儿期夭折,所以只有及时作出精确的解剖畸形诊断与病理生理状况评价,早期进行治疗(包括内科介入性治疗及外科姑息或矫治手术)才能挽救患者生命.幸存的复杂先天性心脏病患者主要是一些暂时获得血流动力学补偿、但最终仍难以长期存活的类型.复杂先天性心脏病患者在幼年时进行姑息手术,会造成其生理条件较差,给手术设计和成功带来困难.因此术前必须了解完整的病理解剖与病理生理资料,如肺、体循环的压力和阻力,血氧、血管直径、肺血回流和体静脉回流、血流动力学、心功能等多方面的参数.

摘要：Objectives: To examine the effect of supplemental glutamine (0.6 *** -1.d-1 ) on whole body protein/nitrogen and glutamine kinetics in low birth weight (LBW ) infants receiving parenteral nutrition in the immediate neonatal period. Study design: Premature infants ≤32 weeks gestation with a birth weight from 694 to 1590 g were randomly assigned to either a glutamine supplemented group (n = 10) or to a control group (n = 10). Tracer isotope studies were performed when the i nfants were 6 to 7 days old and had been receiving an amino acid intake of appro ximately 3.0 *** -1.d-1 for at least 3 days. Whole body glutamine and nitroge n kinetics were measured with [5-15N]glutamine, [ 2H5]phenylalanine, [1-13C, 1 5N] leucine, [15N2]urea, and GC-mass spectrometry. Results: Supplemental glutam ine was associated with a lower rate of appearance of glutamine (P = .003), phen ylalanine (P = .001), and leucine C (P = .003). There was no significant differe nce in leucine N turnover, urea turnover and plasma cortisol, and C-reactive pr otein levels in the 2 groups. Conclusion: Parenteral glutamine supplement in LBW infants was associated with lower wholebody protein breakdown. Because the decr ease in whole body proteolysis is associated with protein accretion, parenteral glutamine supplement may be beneficial in selected populations of LBW infants.

摘要：目的了解住院新生儿父母健康教育需求的现状,为构建围生期精准健康教育模式提供依据。方法自行设计问卷,对2015年1-3月该院新生儿科患儿父母进行问卷调查。问卷由三大部分组成,第一部分为被调查者一般资料,第二部分为新生儿居家护理的基本技能和意外情况的应急处置,第三部分为父母已获得以及期望获得的健康教育途径和形式。结果住院患儿父母居家照顾技能掌握的程度较低;母亲对新生儿烫伤、跌落、呕吐的预防和处理,观察肤色方法及需就诊症状的完全了解程度仅为6.94%、12.50%、20.83%、20.83%和20.83%,父亲与之相比某些项目更低,依次是11.11%、7.41%、13.89%、7.41%和8.33%;母亲与父亲期望得到的健康教育途径前3位分别是:医护人员一对一演示(80.56%,72.22%)、健康指导小手册(54.17%,50.00%)、医护人员讲课(44.44%,37.96%)。结论父母作为新生儿期主要照顾者,其照顾能力、应对意外情况能力较差,急需构建以产科、儿科医院为主要渠道,社区访视等各机构跟进的无缝式衔接健康教育模式,使父母得到持续延续式的专业支持,以全面提高其对新生儿的照护能力,减少不必要的住院。