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Polycythemia in the newborn.

机译:新生儿红细胞增多症。

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摘要

Neonatal polycythemia, a venous hematocrit >65%, occurs in 1% to 5% of the total newborn population. Polycythemia can result from an excess production of red blood cells (active form) or from an increase in fetal blood volume (passive form). Clinical manifestations of polycythemia are caused by an increase in whole blood viscosity with a subsequent decrease in blood flow to organ systems. However, little information exists in the nursing literature concerning neonatal polycythemia. This article addresses the two categories of polycythemia and their etiologies; the involved pathophysiology; clinical manifestations of affected organ systems; supportive and specific therapies that can be used to treat polycythemic infants; the prognosis for polycythemic infants; and the difficulty healthcare providers face in deciding whether to treat this disorder. In addition, a case of a symptomatic infant who was treated with a partial exchange transfusion is presented.
机译:新生儿红细胞增多症(静脉血细胞比容> 65%)发生在新生儿总数的1%至5%中。红细胞增多症可能是由于红血球过多产生(活性形式)或胎儿血容量增加(被动形式)引起的。红细胞增多症的临床表现是由全血粘度增加引起,随后流向器官系统的血流减少引起的。但是,在护理文献中关于新生儿红细胞增多症的信息很少。本文讨论了红细胞增多症的两个类别及其病因。涉及的病理生理;受影响器官系统的临床表现;可用于治疗多囊性婴儿的支持性和特异性疗法;多发性婴儿的预后;医疗保健提供者在决定是否要治疗这种疾病时会遇到困难。此外,还介绍了接受部分交换输血治疗的有症状婴儿的情况。

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