新生儿与新生儿疾病(熊洁)汇编

1、 Central South UniversityCentral South University Central South UniversityCentral South University Central South UniversityCentral South University Central South UniversityCentral South University 早产儿呼吸关早产儿呼吸关 Central South UniversityCentral South University Central South UniversityCentral South Uni

2、versity 出生后出生后 Central South UniversityCentral South University 早产儿喂养关、早产儿喂养关、 黄疸关黄疸关 Central South UniversityCentral South University 早产儿出血关早产儿出血关 Central South UniversityCentral South University 早产儿体温关早产儿体温关 Central South UniversityCentral South University 能量和体液代谢：能量和体液代谢： 基础能量：基础能量：50kCal/kg.d50k

3、Cal/kg.d 总能量：总能量：100100120kCal/kg.d120kCal/kg.d 生理性体重下降：生理性体重下降： 生后由于体内水分丢失较多、进入量少、生后由于体内水分丢失较多、进入量少、 胎脂脱落及胎便排出等原因导致体重逐渐下降，胎脂脱落及胎便排出等原因导致体重逐渐下降， 约约1 1周末降至最低点周末降至最低点( (小于出生体重的小于出生体重的10%,10%,早产早产 儿为儿为15152020),),一般一般1010天左右恢复到出生体天左右恢复到出生体 重。重。 免疫系统：免疫系统： 非特异性和特异性免疫功能均不成熟。非特异性和特异性免疫功能均不成熟。 早产儿感染关早产儿感染关

4、 Central South UniversityCentral South University Central South UniversityCentral South University 肝细胞肝细胞 摄取摄取 结合结合 结合胆红素结合胆红素 肠道肠道 尿胆元尿胆元大便大便 胆汁胆汁 - -葡萄糖醛酸苷葡萄糖醛酸苷未结合未结合 胆红素胆红素 HbHb 未结合胆红素未结合胆红素 白蛋白白蛋白 转运转运 细菌细菌 UDPGT Y Y蛋白蛋白 Z Z蛋白蛋白 肠肝循环肠肝循环 肠肝循环肠肝循环 Central South UniversityCentral South University

5、 Central South UniversityCentral South University Central South UniversityCentral South University 思考题思考题 Central South UniversityCentral South University Central South UniversityCentral South University Central South UniversityCentral South University Central South UniversityCentral South Universit

6、y 新生儿病理性黄疸新生儿病理性黄疸 Central South UniversityCentral South University 新生儿病理性黄疸新生儿病理性黄疸 Central South UniversityCentral South University 新生儿病理性黄疸新生儿病理性黄疸 Central South UniversityCentral South University 新生儿病理性黄疸新生儿病理性黄疸 Central South UniversityCentral South University 新生儿病理性黄疸新生儿病理性黄疸 Central South Uni

7、versityCentral South University 新生儿呼吸窘迫综合征新生儿呼吸窘迫综合征 Central South UniversityCentral South University 新生儿呼吸窘迫综合征新生儿呼吸窘迫综合征 使用固尔苏前使用固尔苏前 使用固尔苏后使用固尔苏后 Central South UniversityCentral South University 新生儿呼吸窘迫综合征新生儿呼吸窘迫综合征 Central South UniversityCentral South University Central South UniversityCentral

8、South University Central South UniversityCentral South University Central South UniversityCentral South University Central South UniversityCentral South University 新生儿窒息新生儿窒息 Central South UniversityCentral South University 新生儿窒息新生儿窒息 Central South UniversityCentral South University 新生儿窒息新生儿窒息 Centr

9、al South UniversityCentral South University Central South UniversityCentral South University 新生儿颅内出血新生儿颅内出血 Central South UniversityCentral South University Central South UniversityCentral South University Central South UniversityCentral South University Central South UniversityCentral South University Central South UniversityCentral South University Ce