新生儿疾病neonatal disease.ppt

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1、NeonatalProblemsArrangement今日安排1.Reviewtheassociatedknowledge(25’)2.Clinicalprobationinneonataldepartment(75’)3.Summary(20’)FamiliawiththedifferenceofpretermneonateandtermneonateGetholdofclinicalmanifestationofneonatepnemoniaGetholdofdifferenceofphysiologicalandpathologicaljaundice目

2、的要求ObjectiveandRequestDefinationNeonate--新生儿0—28daysInfant--婴儿0—1yearsold.DefinitionofNeonate(1):relatedtoGAPreterm/prematureneonate:<37w早产儿Termneonate:37～42w足月儿Post-termneonate:≥42w过期产儿Howtoidentify怎样识别skinheadandhairearthenargalactophoregenitaliaDifferenceoftermandpretermskin皮肤Di

3、fferenceoftermandpretermthenar足纹Differenceoftermandpretermgalactophore乳腺Differenceoftermandpretermearconch耳壳Differenceoftermandpretermgenitalia生殖器Differenceoftermandpretermheadandhair头部及毛发DefinitionofNeonate(2):relatedtoBW（measurewithin1sthourafterbirth）TinybabyBW<1000gVerylowbirth

4、weightBW<1500gLowbirthweightBW<2500gNormalbirthweightBW2500～4000gLargebaby(macrosomia)BW>4000gDefinitionofNeonate(3):relatedtobothGA&BWSmallforgestationalageSGA小于胎龄儿AppropriatedforgestationalageAGA适于胎龄儿LargeforgestationalageLGA大于胎龄儿DefinitionofNeonate(4):relatedtoageEarlybaby(peri

5、natalbaby):早期新生儿neonateinfirst7daysLatebaby:晚期新生儿above7daysDefinitionofNeonate(5):Highriskbaby高危新生儿Isthebabywhohavesevereconditionsandneedintensivecareafterbirth,usuallyarethosewithmaternaldiseaseorabnormaldeliveryhistory.e.g,pretermbaby,asphyxia（窒息）,congenitaldisease（先天性疾病），ect.Som

6、eCommonDiseasesHyalineMembraneDisease(HMD)AsphyxiaHypoxicischaemicencephalopathy(HIE)PneumoniaPulmonaryHemorrhageJaundice新生儿黄疸(NeonatalJaundice)DefinitionTheyellowskinandmucusbecauseoftoohighconcentrationofbilirubinintheblood.Twotypesofneonataljaundicesneonataljaundicesphysiological

7、pathological生理性黄疸病理性黄疸case1李X,10days,female,pretermneonateonsetofjaundice,3daysafterbirthtotalbilirubin:13.5mg/dldirectbilirubin:1.4mg/dlbirthweight:2.4kg,nowweight:2.8kgfedwell,sleepwellnofever,nocyagnosis,nodiarrhea.ComparisonItemPhysiologicalPathologicalonsettime2-3d<1dbilirubinl

8、evel<12.9mg/dlterm<