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本文通过对73例新生儿硬肿症的临床分析认为硬肿症的发病与胎龄。体重、季节、感染等因素有关。治疗硬肿症除了复温、扩容纠酸,抗感染和激素、肝素的使用,支持疗法外,本文特别强调多巴胺(DA)治疗重症硬肿疗效显著。DA治疗新生儿重症硬肿症的机制为:①可增加肾血灌注量,促进利尿;②扩张冠状动脉增强心脏收缩力;③解除微血管痉挛,扩张血管使休克逆转,并可使皮肤转暖,青紫消失,硬肿消退。
In this paper, 73 cases of neonatal sclera clinical analysis of the incidence of sclerema and gestational age. Weight, season, infection and other factors. In addition to rewarming treatment of sclerema, expansion of correction of acid, anti-infectives and hormones, the use of heparin, supportive therapy, this paper with special emphasis on dopamine (DA) treatment of severe sclerosis significant effect. DA treatment of severe scleredema in neonatal mechanism: ① can increase renal blood perfusion, and promote diuretic; ② dilated coronary artery to enhance cardiac contractility; ③ relieve microvascular spasm, dilation of blood vessels to reverse shock and make the skin warming, Purple disappeared, edema dissipated.