输血压素输注对耐火新生儿休克的作用
Anup Thakur1, Sachin Dangi1, Rohit Gehlawat1
1Department of Neonatology, Institute of Child Health, Sir Ganga Ram Hospital, New Delhi, India.
Journal of neonatal-perinatal medicine
|February 20, 2025
概括
输血压素输注显著改善了新生儿耐火性休克的血压和尿液输出. 这种治疗提供了一个救援选择,尽管它可能会降低血清水平.
科学领域:
- 新生儿重症监护中心
- 儿童心脏病学 儿童心脏病学
- 药理学 药理学是指药理学的学科.
背景情况:
- 新生儿的耐火性休克是一个关键的临床挑战.
- 对于持续性休克的新生儿,对标准治疗无反应的新生儿,治疗选择有限.
研究的目的:
- 评估输血压素输液作为耐火新生儿休克治疗的疗效.
- 评估压素对新生儿血液动力学参数和临床结果的影响.
主要方法:
- 对32名新生儿进行了回顾性队列研究,这些新生儿接受了静脉静脉压素治疗耐火性休克的治疗.
- 收集的数据包括血压,心率,尿液输出,血清,异位素得分和氧化指数.
- 血液动力学参数在输血压开始前和48小时后进行了比较.
主要成果:
- 血管压素显著改善了心压,心压和平均血压 (p<0.05).
- 血管压素治疗后,尿液输出的中位数显著增加 (p=0.004).
- 观察到血清水平显著下降 (p=0.01).
结论:
- 输血压素输液在改善新生儿耐火冲击的血液动力学状况方面表现出有效性.
- 血管压素作为一个可行的救援治疗选择,危急病的新生儿.
- 在血管压素治疗期间,监测血清水平至关重要,因为存在低血的风险.
更多相关视频
08:44Continuous IV Infusion is the Choice Treatment Route for Arginine-vasopressin Receptor Blocker Conivaptan in Mice to Study Stroke-evoked Brain Edema
Published on: September 1, 2016
8.8K
11:59In Vivo Real-Time Study of Drug Effects on Carotid Blood Flow in the Ovine Fetus
Published on: April 28, 2023
254
相关概念视频
Antihypertensive Drugs: Vasodilators
462
Vasodilators, primarily affecting the smooth muscles within arterial and venous walls, are commonly used for hypertension treatment. Medications such as minoxidil and hydralazine primarily target arteries and arterioles, while sodium nitroprusside acts on arterioles and venules. Minoxidil, functioning as a prodrug, is metabolized by hepatic sulfotransferase into its active form, minoxidil sulfate, after oral administration. This metabolite binds to the sulfonylurea receptor (SUR) component of...
462
Blood Pressure Imbalances and Circulatory Shock
732
Disorders affecting blood volume, vascular tone, or vascular function can disrupt vascular homeostasis, including conditions like hypertension, hemorrhage, and shock.
Blood Pressure: Hypertension and Hypotension
Normal blood pressure is 120/80 mm Hg. Elevated blood pressure is 120-129/under 80 mm Hg. Hypertension, warranting treatment at 130/80 mm Hg, is often asymptomatic and can lead to severe cardiovascular events, aneurysms, peripheral arterial disease, chronic renal disease, or cardiac...
Blood Pressure: Hypertension and Hypotension
Normal blood pressure is 120/80 mm Hg. Elevated blood pressure is 120-129/under 80 mm Hg. Hypertension, warranting treatment at 130/80 mm Hg, is often asymptomatic and can lead to severe cardiovascular events, aneurysms, peripheral arterial disease, chronic renal disease, or cardiac...
732
Heart Failure Drugs: Inhibitors of Renin-Angiotensin System
371
The activation of the sympathetic nervous system and the renin-angiotensin-aldosterone system (RAAS) contributes to cardiac remodeling, and inhibiting the RAAS is a pharmacological target in heart failure management. As a result, neurohumoral modulation is a crucial treatment principle for managing heart failure. This approach involves using medications like ACE inhibitors (ACEIs), angiotensin receptor blockers (ARBs), β-blockers, mineralocorticoid receptor antagonists (MRAs), and neutral...
371
