发育医学电子杂志 2020, Vol. 8 Issue (4): 359-364 DOI: 10.3969/j.issn.2095-5340.2020.04.015 |
围产医学
综述
|新生儿
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新生儿缺氧缺血性脑病脑电图监测关键问题研究进展
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王英杰 毛健 |
中国医科大学附属盛京医院 新生儿科,辽宁 沈阳 110004
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Key problems on continuous EEG monitoring in the neonate with hypoxic-ischemic encephal
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Wang Yingjie, Mao Jian |
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摘要
新 生 儿 缺 氧 缺 血 性 脑 病(hypoxic-ischemicencephalopathy,HIE)是由围产期急性缺氧缺血导致的新生儿脑损伤,在发达国家发病率为(2 ~ 3)/1 000,而发展中国家高达(10 ~ 20)/1 000[1] 。尽管低温治疗技术在患儿生后 6 h 内的应用,使中重度 HIE 患儿预后有显著改善,但 HIE 仍是足月新生儿神经发育障碍、癫痫、脑瘫甚至死亡的主要病因[2] 。因此,如何在短暂的时间窗内精准地选择低温治疗的获益人群、对亚低温及抗惊厥药物进行细致的规范化管理、科学地评估 HIE 患儿远期神经系统预后,仍然是新生儿神经重症监护单元的工作核心,而连续脑电监测技术在其中发挥了不可或缺的重要作用。
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关键词:
新生儿')" href="#">
新生儿
缺氧缺血性脑病
脑电图
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收稿日期: 2020-07-07
发布日期: 2020-11-05
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通讯作者:
毛健
E-mail: maoj@sj-hospial.org
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