双胞胎患有严重的新生儿肠道病毒感染,结果不同:病例报告
Kelly K Storm1,2, Daan De Herdt1,3, Karen Couderé4
1Department of Pediatrics, Amphia Hospital, Breda, Netherlands.
Frontiers in pediatrics
|September 25, 2023
概括
严重的新生儿肠道病毒感染可能是致命的,特别是心脏参与. 在新生儿中,早期识别和支持性护理对于积极的结果至关重要,因此有必要进行例行肠道病毒查.
科学领域:
- 新生儿科学 新生儿科学
- 病毒学 病毒学
- 儿童心脏病学 儿童心脏病学
背景情况:
- 肠道病毒是全球急性病毒性疾病的常见原因.
- 新生儿肠道病毒感染存在各种临床过程,其中一些导致严重并发症,如心肌炎,死亡率高.
- 过早出生的婴儿可能面临严重后果的风险增加.
研究的目的:
- 报告早产双胞胎的临床过程,新生儿中出现严重的肠道病毒感染和心脏干扰.
- 突出早期识别和干预新生儿肠道病毒感染的重要性.
- 倡导在发烧的新生儿中进行常规肠道病毒查.
主要方法:
- 病例报告详细介绍了早产双胞胎 (35周妊娠年龄) 的临床进展.
- 诊断和治疗干预措施的描述,包括转移到专门的新生儿重症监护病房.
- 重点是支持性护理和血液动力学管理.
主要成果:
- 一个双胞胎经历了致命的结局由于严重的肠道病毒感染与心脏参与.
- 另一个双胞胎得到了迅速的诊断和及时的转移,受益于早期的支持性治疗和专业护理.
- 对第二个双胞胎的早期识别和干预带来了积极的结果.
结论:
- 早期识别新生儿肠道病毒感染对于预防严重并发症和死亡至关重要.
- 及时转移到专门单位和及时的支持性护理改善了受影响的新生儿的结果.
- 建议对发烧的新生儿进行病毒面板中的常规肠道病毒查.
更多相关视频
相关概念视频
Acute Respiratory Failure-II
263
Type I Respiratory Failure, or hypoxemic respiratory failure, occurs when the partial pressure of oxygen (PaO2) in arterial blood falls below 60 mmHg while breathing room air without a corresponding increase in arterial carbon dioxide levels (PaCO2). This condition highlights a significant impairment in the lungs' capacity to oxygenate the blood.
The underlying physiological abnormalities that contribute to hypoxemic respiratory failure include:
The underlying physiological abnormalities that contribute to hypoxemic respiratory failure include:
263
Pneumonia III: Complications and Assessment
253
Pneumonia poses the potential for numerous complications that warrant consideration. These complications include the following:
253
Pneumonia II: Pathophysiology
314
The pathophysiology of pneumonia involves the following steps:
314
Pulmonary Embolism II: Diagnostic Studies and Interprofessional Care
10
Diagnosing Pulmonary EmbolismDiagnosing pulmonary embolism (PE) involves clinical assessment and advanced imaging tests. The preferred diagnostic tool is the spiral (helical) CT scan or CT angiography (CTA), which uses intravenous contrast media to visualize the pulmonary vasculature and identify emboli.A ventilation-perfusion (V/Q) scan is an alternative for patients unable to receive contrast media. This scan includes both perfusion and ventilation scanning. Perfusion scanning involves...
10
Teratogenicity
2.5K
The ability of a drug to produce structural deformations and functional abnormalities in the developing embryo or the fetus is called teratogenicity, and the drug producing this effect is known as a teratogen. Teratogenic effects include stillbirth, miscarriage, intrauterine growth restriction, and neurocognitive delay. A teratogen may affect the embryo at different stages of development, which is important in determining the type and extent of the damage. During blastocyst formation, the early...
2.5K
Acute Respiratory Failure-III
209
Hypercapnic respiratory failure, also known as Type 2 or ventilatory respiratory failure, is a severe condition characterized by the body's inability to effectively remove carbon dioxide (CO2) from the bloodstream. It leads to an arterial CO2 pressure (PaCO2) exceeding 45 mmHg and a blood pH above 7.35. This situation indicates that the body's ventilatory demand, or the ventilation needed to maintain normal PaCO2 levels, surpasses its supply or the maximum gas flow achievable without...
209


